Organization
CEDAR LANE REHABILITATION & HEALTH CARE CTR LLC
Active
Parent organization
CONNECTICUT SUBACUTE LLC
Other names
Village Green of Waterbury Rehabilitation and Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT SUBACUTE LLC
Authorized official
MS. CAROLE M. SCILLIA (LLC MANAGER)
(203) 608-6100
Entity
Organization
Contact information
Practice address
128 CEDAR AVENUE, WATERBURY, CT 06705-2700
(203) 757-9271
(203) 757-2988
Mailing address
538 PRESTON AVE, SUITE 270, MERIDEN, CT 06450-4851
(203) 608-6100
(203) 639-3574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2225-C
CT
314000000X
Skilled Nursing Facility
2225C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000520157
—
CT
Enumeration date
08/15/2005
Last updated
05/20/2011
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