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Organization
WATERMARK 3030 PARK LLC
Active
Organization
WATERMARK 3030 PARK LLC
Active
Other names
The Springs at Watermark 3030 Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FRESHWATER (AUTHORIZED AGENT)
(520) 797-4000
Entity
Organization
Contact information
Practice address
3030 PARK AVE, BRIDGEPORT, CT 06604
(203) 374-4611
(203) 374-2871
Mailing address
3030 PARK AVE, BRIDGEPORT, CT 06604
(203) 374-4611
(203) 374-4611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2347
CT
Other
Enumeration date
03/17/2008
Last updated
06/02/2009
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