NICOLE R ARCHAMBAULT-BENSON
Nursing Home Administrator


Address: 1 Applewood Ln, Avon, CT 06001-4502

NICOLE R ARCHAMBAULT-BENSON (Credential# 765721) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2014. The license status is INACTIVE.

Business Overview

NICOLE R ARCHAMBAULT-BENSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001485. The credential type is nursing home administrator. The effective date is July 1, 2012. The expiration date is June 30, 2014. The business address is 1 Applewood Ln, Avon, CT 06001-4502. The current status is inactive.

Basic Information

Licensee Name NICOLE R ARCHAMBAULT-BENSON
Credential ID 765721
Credential Number 36.001485
Credential Type Nursing Home Administrator
Business Address 1 Applewood Ln
Avon
CT 06001-4502
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-03-01
Effective Date 2012-07-01
Expiration Date 2014-06-30
Refresh Date 2014-10-10

Office Location

Street Address 1 APPLEWOOD LN
City AVON
State CT
Zip Code 06001-4502

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Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
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Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + AVON

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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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