# BROOK HOLLOW HEALTH CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONNECTICUT SUBACUTE LLC
- **Other names:** Village Green of Wallingford Rehabilitation and Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083607543
- **Legal business name:** CONNECTICUT SUBACUTE LLC
- **Authorized official:** MS. CAROLE M. SCILLIA (LLC MANAGER)
- **Authorized official phone:** (203) 608-6100

## Contact information

- **Practice address:** 55 KONDRACKI LANE, WALLINGFORD, CT 06492-4951
- **Practice address phone:** (203) 265-6771
- **Practice address fax:** (203) 284-3883
- **Mailing address:** 538 PRESTON AVE, SUITE 270, MERIDEN, CT 06450-4851
- **Mailing address phone:** (203) 608-6100
- **Mailing address fax:** (203) 639-3574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2223-C | CT | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 05/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000020149 | — | CT |