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Organization
MAPLE VIEW MANOR OF CT LLC
Active
Organization
MAPLE VIEW MANOR OF CT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY BOKOW (VICE PRESIDENT, CFO)
(516) 705-4800
Entity
Organization
Contact information
Practice address
856 MAPLE STREET, ROCKY HILL, CT 06067
(860) 563-2861
(860) 257-9128
Mailing address
856 MAPLE STREET, ROCKY HILL, CT 06067
(860) 563-2861
(860) 257-9128
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009407
—
CT
Enumeration date
12/04/2006
Last updated
06/12/2015
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