Organization
SPECTRUM HEALTHCARE WINSTED, LLC
Active
Other names
Laurel Hill Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD WILLIAM DICKSTEIN PHD (CHIEF EXECUTIVE OFFICER)
(860) 871-5454
Entity
Organization
Contact information
Practice address
108 E LAKE ST, WINSTED, CT 06098-1912
(860) 871-5454
(860) 871-5757
Mailing address
108 E LAKE ST, WINSTED, CT 06098-1912
(860) 871-5454
(860) 871-5757
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2287
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020107
—
CT
Enumeration date
11/07/2005
Last updated
08/12/2008
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