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Organization
CANDLEWOOD NEW MILFORD LLC
Active
Organization
CANDLEWOOD NEW MILFORD LLC
Active
Other names
Candlewood Valley Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO SINICARIELLO-IOTH (VICE PRESIDENT)
(440) 439-3400
Entity
Organization
Contact information
Practice address
30 PARK LANE EAST, NEW MILFORD, CT 06776
(860) 355-0971
(860) 210-1383
Mailing address
30 PARK LANE EAST, NEW MILFORD, CT 06776
(860) 355-0971
(860) 210-1383
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2207C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
795
ANTHEM
—
Enumeration date
10/24/2006
Last updated
08/22/2020
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