Organization
MVM INC
Active
Other names
Watertown Convalarium
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J VINCITORIO (ADMINISTRATOR)
(860) 274-6748
Entity
Organization
Contact information
Practice address
560 WOODBURY RD, WATERTOWN, CT 06795-1725
(860) 274-6748
(860) 274-5972
Mailing address
560 WOODBURY ROAD, WATERTOWN, CT 06795-1725
(860) 274-6748
(860) 274-5972
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2063C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008813
—
CT
Enumeration date
10/02/2006
Last updated
09/18/2007
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