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Organization
CANDLEWOOD VALLEY CARE CTR
Active
Organization
CANDLEWOOD VALLEY CARE CTR
Active
Other names
CANDLEWOOD VALLEY CARE CTR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITZA DEFLORIO (REGIONAL DIRECTOR OF FINANCE)
(800) 685-8180
Entity
Organization
Contact information
Practice address
30 PARK LN E, NEW MILFORD, CT 06776-2510
(800) 685-8180
(203) 665-6455
Mailing address
30 PARK LN E, NEW MILFORD, CT 06776-2510
(800) 685-8180
(203) 665-6455
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2207-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009266
—
CT
Enumeration date
07/13/2010
Last updated
07/13/2010
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