PHILLIP A KRAKOWIAK SR
Nursing Home Administrator


Address: 406 Second Ave., West Haven, CT 06516

PHILLIP A KRAKOWIAK SR (Credential# 765834) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2010. The license expiration date date is July 31, 2012. The license status is INACTIVE.

Business Overview

PHILLIP A KRAKOWIAK SR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001599. The credential type is nursing home administrator. The effective date is August 1, 2010. The expiration date is July 31, 2012. The business address is 406 Second Ave., West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name PHILLIP A KRAKOWIAK SR
Credential ID 765834
Credential Number 36.001599
Credential Type Nursing Home Administrator
Business Address 406 Second Ave.
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-03-12
Effective Date 2010-08-01
Expiration Date 2012-07-31
Refresh Date 2012-11-02

Office Location

Street Address 406 Second Ave.
City West Haven
State CT
Zip Code 06516

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Competitor

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City West Haven
Zip Code 06516
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + West Haven

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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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