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Organization
CHESHIRE HOUSE LLC
Active
Organization
CHESHIRE HOUSE LLC
Active
Other names
Cheshire House Health Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN SBRIGLIO RN, NHA, CEO (OWNER)
(203) 381-1327
Entity
Organization
Contact information
Practice address
3396 E MAIN ST, WATERBURY, CT 06705-3812
(203) 754-2161
(203) 756-2293
Mailing address
3396 E MAIN ST, WATERBURY, CT 06705-3812
(203) 754-2161
(203) 756-2293
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2141C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000006577
—
CT
01
—
0831560001
NSC - DMERC
CT
01
—
647
ANTHEM BC/BS CT
CT
01
—
A1298909
OXFORD - HMO CARRIER
CT
Enumeration date
09/26/2005
Last updated
04/25/2008
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