Organization
CANDLEWOOD VALLEY CARE CTR
Active
Other names
CANDLEWOOD VALLEY CARE CTR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITZA DEFLORIO (REGIONAL DIRECTOR OF FINANCE)
(800) 685-8180
Entity
Organization
Contact information
Practice address
30 PARK LN E, NEW MILFORD, CT 06776-2510
(800) 685-8180
(203) 665-6455
Mailing address
30 PARK LN E, NEW MILFORD, CT 06776-2510
(800) 685-8180
(203) 665-6455
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2207-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009266
—
CT
Enumeration date
07/13/2010
Last updated
07/13/2010
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