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Organization
NORTHBRIDGE HEALTH CARE CENTER, INC.
Active
Organization
NORTHBRIDGE HEALTH CARE CENTER, INC.
Active
Other names
Northbridge Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE G. SANTILLI (PRESIDENT/CEO)
(860) 751-3900
Entity
Organization
Contact information
Practice address
2875 MAIN STREET, BRIDGEPORT, CT 06606
(203) 336-0232
(203) 336-0234
Mailing address
2875 MAIN STREET, BRIDGEPORT, CT 06606
(203) 336-0232
(203) 336-0234
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2183C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010835
—
CT
01
—
IR8003
HEALTHNET
CT
Enumeration date
05/18/2006
Last updated
02/16/2023
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