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Organization
ORCHARD GROVE SPECIALTY CARE CENTER LLC
Active
Organization
ORCHARD GROVE SPECIALTY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HAMBLEY (CFO)
(860) 678-9755
Entity
Organization
Contact information
Practice address
5 RICHARD BROWN DRIVE, UNCASVILLE, CT 06382
(860) 848-8466
(860) 848-7456
Mailing address
5 RICHARD BROWN DRIVE, UNCASVILLE, CT 06382
(860) 848-8466
(860) 848-7456
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2306
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021064
—
CT
Enumeration date
12/04/2006
Last updated
04/01/2015
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