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Organization

BRISTOL CCH GROUP, LLC

Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES INC
Other names
Countryside Manor of Bristol, Athena Health Care Systems
Organization subpart
Yes

Provider details

NPI number
Legal business name
ATHENA HEALTH CARE ASSOCIATES INC
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization

Contact information

Practice address
1660 STAFFORD AVE, BRISTOL, CT 06010-2571
(860) 583-8483
(860) 585-7913
Mailing address
1660 STAFFORD AVE, BRISTOL, CT 06010-2571
(860) 583-8483
(860) 585-7913

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2285
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000021303
CT
Enumeration date
03/23/2006
Last updated
02/15/2023
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