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1619718038
STILL WATER SERENITY FOUNDATION LLC
TORRINGTON, CT
NPI
1619718038
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Entity Type
Organization
Authorized Contact
GARRETT J WHITTAKER
CEO/Owner
860-387-7940
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
STILL WATER SERENITY FOUNDATION LLC
133 LONGMEADOW DR
TORRINGTON, CT 06790-4170
Phone number: 860-387-7940
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Mailing Address
STILL WATER SERENITY FOUNDATION LLC
133 LONGMEADOW DR
TORRINGTON, CT 06790-4170
Phone number:
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