Spectrum Healthcare Waterbridge, Llc

NPI 1104807304 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1104807304
Enumeration Date 11/07/2005
Last Updated 08/12/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name HOWARD WILLIAM HOWARD
Position CHIEF EXECUTIVE OFFICER
Phone (860) 871-5454
Fax (860) 871-5757
Practice Location
126 FORD ST
ANSONIA CT, 06401-2635, US
Phone (860) 871-5454
Fax (860) 871-5757
Business Location
126 FORD ST
ANSONIA CT, 06401-2635, US
Phone (860) 871-5454
Fax (860) 871-5757
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 2261
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According to our database, Spectrum Healthcare Waterbridge, Llc NPI is 1104807304, taxonomy code is 314000000X and license number is 2261, license state is located at Connecticut. Spectrum Healthcare Waterbridge, Llc physically located at 126 Ford St, Ansonia CT, 06401-2635. NPI Number 1033115704 has the healthcare provider type.

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1104807304 NPI number is provided on an as is basis without warranty of any kind. 1104807304 is maintained by the National Plan & Provider Enumeration System. The contents of Spectrum Healthcare Waterbridge, Llc are for informational purposes only.