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Organization
STAFFORD SPRINGS CT SNF LLC
Active
Organization
STAFFORD SPRINGS CT SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
205 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076-4005
(860) 684-6341
Mailing address
205 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076-4005
(860) 684-6341
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020529
—
CT
Enumeration date
07/29/2015
Last updated
02/17/2023
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