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Organization

VALERIE MANOR INC

Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES INC
Organization subpart
Yes

Provider details

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

Contact information

Practice address
1360 TORRINGFORD ST, TORRINGTON, CT 06790-3140
(860) 489-1008
(860) 482-4266
Mailing address
1360 TORRINGFORD ST, TORRINGTON, CT 06790-3140
(860) 489-1008
(860) 482-4266

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1070-C
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000010702
CT
05
000092072
CT
01
875
ANTHEM BLUE CROSS
CT
Enumeration date
09/13/2006
Last updated
02/16/2023
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