Village Manor Inc Bankruptcy

NPI 1861456840 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1861456840
Enumeration Date 04/14/2006
Last Updated 01/13/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TIMOTHY JOHN TIMOTHY
Position ADMINISTRATOR/MANAGER
Phone (860) 564-4081
Fax (860) 564-1472
Practice Location
16 WINDSOR AVENUE
PLAINFIELD CT, 06374, US
Phone (860) 564-4081
Fax (860) 564-1472
Business Location
16 WINDSOR AVENUE
PLAINFIELD CT, 06374, US
Phone (860) 564-4081
Fax (860) 564-1472
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 2003-C
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According to our database, Village Manor Inc Bankruptcy NPI is 1861456840, taxonomy code is 314000000X and license number is 2003-C, license state is located at Connecticut. Village Manor Inc Bankruptcy physically located at 16 Windsor Avenue, Plainfield CT, 06374. NPI Number 1033115704 has the healthcare provider type.

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1861456840 NPI number is provided on an as is basis without warranty of any kind. 1861456840 is maintained by the National Plan & Provider Enumeration System. The contents of Village Manor Inc Bankruptcy are for informational purposes only.