Waterbury Extended Care Facility

NPI 1558430256 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1558430256
Enumeration Date 11/07/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK MARK
Position CFO
Phone (860) 274-5428
Fax (860) 945-7034
Practice Location
35 BUNKER HILL RD
WATERTOWN CT, 06795-3304, US
Phone (860) 274-5428
Fax (860) 945-7034
Business Location
35 BUNKER HILL RD
WATERTOWN CT, 06795-3304, US
Phone (860) 274-5428
Fax (860) 945-7034
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 1082-C
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According to our database, Waterbury Extended Care Facility NPI is 1558430256, taxonomy code is 314000000X and license number is 1082-C, license state is located at Connecticut. Waterbury Extended Care Facility physically located at 35 Bunker Hill Rd, Watertown CT, 06795-3304. NPI Number 1033115704 has the healthcare provider type.

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1558430256 NPI number is provided on an as is basis without warranty of any kind. 1558430256 is maintained by the National Plan & Provider Enumeration System. The contents of Waterbury Extended Care Facility are for informational purposes only.