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Organization
HEALTH CARE RELIANCE LLC D/B/A ELLIS MANOR
Active
Organization
HEALTH CARE RELIANCE LLC D/B/A ELLIS MANOR
Active
Other names
ELLIS MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS HARRISON (CONTROLLER)
(203) 250-2030
Entity
Organization
Contact information
Practice address
210 GEORGE ST, HARTFORD, CT 06114-2823
(860) 296-9166
(860) 296-8020
Mailing address
1157 HIGHLAND AVE, STE 102, CHESHIRE, CT 06410-1600
(203) 250-2030
(203) 250-2034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2187C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010595
—
CT
Enumeration date
05/24/2005
Last updated
08/07/2008
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