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Organization
SAINT MARY HOME, INCORPORATED
Active
Organization
SAINT MARY HOME, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA LATOVICK (VP REIMBURSEMENT)
(734) 343-6628
Entity
Organization
Contact information
Practice address
2021 ALBANY AVE, WEST HARTFORD, CT 06117-2755
(860) 570-8200
(860) 570-8293
Mailing address
2021 ALBANY AVE, WEST HARTFORD, CT 06117-2755
(860) 570-8200
(860) 570-8293
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
28-RH
CT
314000000X
Skilled Nursing Facility
Primary
680C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000006809
—
CT
05
—
000090282
—
CT
Enumeration date
08/31/2006
Last updated
08/18/2022
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