GUSTAVE J KEACH-LONGO
Nursing Home Administrator


Address: 11 High Wood Rd, Bloomfield, CT 06002-2113

GUSTAVE J KEACH-LONGO (Credential# 765701) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2022. The license status is ACTIVE.

Business Overview

GUSTAVE J KEACH-LONGO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001465. The credential type is nursing home administrator. The effective date is May 1, 2020. The expiration date is April 30, 2022. The business address is 11 High Wood Rd, Bloomfield, CT 06002-2113. The current status is active.

Basic Information

Licensee Name GUSTAVE J KEACH-LONGO
Credential ID 765701
Credential Number 36.001465
Credential Type Nursing Home Administrator
Business Address 11 High Wood Rd
Bloomfield
CT 06002-2113
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1995-09-15
Effective Date 2020-05-01
Expiration Date 2022-04-30
Refresh Date 2020-06-01

Office Location

Street Address 11 HIGH WOOD RD
City BLOOMFIELD
State CT
Zip Code 06002-2113

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Mark P Richards Jr 11 High Wood Rd, Bloomfield, CT 06002-2113 Massage Therapist 2017-01-01 ~ 2018-12-31

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Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City BLOOMFIELD
Zip Code 06002
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + BLOOMFIELD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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