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Organization
EASTERN CT HEALTH SYSTEMS INC
Active
Organization
EASTERN CT HEALTH SYSTEMS INC
Active
Other names
Fountainview Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL PETTEY LNHA (ADMINISTRATOR)
(860) 442-0471
Entity
Organization
Contact information
Practice address
88 CLARK LANE, WATERFORD, CT 06385
(860) 442-0471
(860) 440-3574
Mailing address
88 CLARK LANE, WATERFORD, CT 06385
(860) 442-0471
(860) 440-3574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1048C
CT
Other
Enumeration date
09/21/2005
Last updated
08/22/2020
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