Organization
CPL (CABOT) LLC
Active
Parent organization
NEW JERSEY SUBACUTE LLC
Other names
Renaissance Manor on Cabot
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW JERSEY SUBACUTE LLC
Authorized official
MS. CAROLE M SCILLIA (LLC MANAGER)
(203) 608-6100
Entity
Organization
Contact information
Practice address
279 CABOT STREET, HOLYOKE, MA 01040-3139
(413) 536-3435
(413) 536-8259
Mailing address
538 PRESTON AVENUE, SUITE 270, MERIDEN, CT 06450-4851
(203) 608-6100
(203) 639-3574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0049
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928321
—
MA
Enumeration date
11/03/2005
Last updated
07/19/2011
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