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Organization
SHELTON LAKES HEALTH CARE CENTER, INC
Active
Organization
SHELTON LAKES HEALTH CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HAMBLEY (CFO)
(860) 678-9755
Entity
Organization
Contact information
Practice address
5 LAKE RD, SHELTON, CT 06484-2967
(203) 924-2635
(203) 924-0034
Mailing address
5 LAKE RD, SHELTON, CT 06484-2967
(203) 924-2635
(203) 924-0034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2298-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010173
—
CT
Enumeration date
03/06/2007
Last updated
10/16/2014
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