Athena Meadowbrook, Llc

NPI 1134562812 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1134562812
Enumeration Date 04/11/2013
Last Updated 04/11/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL MICHAEL
Position CFO
Phone (860) 653-9888
Fax (860) 653-8938
Practice Location
350 SALMON BROOK ST
GRANBY CT, 06035-1842, US
Phone (860) 653-9888
Fax (860) 653-8938
Business Location
350 SALMON BROOK ST
GRANBY CT, 06035-1842, US
Phone (860) 653-9888
Fax (860) 653-8938
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 2080C
Remove 1134562812 NPI Number
 

According to our database, Athena Meadowbrook, Llc NPI is 1134562812, taxonomy code is 314000000X and license number is 2080C, license state is located at Connecticut. Athena Meadowbrook, Llc physically located at 350 Salmon Brook St, Granby CT, 06035-1842. NPI Number 1033115704 has the healthcare provider type.

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1134562812 NPI number is provided on an as is basis without warranty of any kind. 1134562812 is maintained by the National Plan & Provider Enumeration System. The contents of Athena Meadowbrook, Llc are for informational purposes only.