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Organization
SSC NIANTIC OPERATING COMPANY LLC
Active
Organization
SSC NIANTIC OPERATING COMPANY LLC
Active
Other names
Bride Brook Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
23 LIBERTY WAY, NIANTIC, CT 06357-1030
(860) 739-4007
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2308
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020826
—
CT
Enumeration date
04/03/2007
Last updated
11/17/2020
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