Organization
GLASTONBURY HEALTH CARE CENTER, 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
MR. MICHAEL E MOSIER (TREASURER/CFT)
(860) 628-5514
Entity
Organization
Contact information
Practice address
1175 HEBRON AVE, GLASTONBURY, CT 06033-2478
(860) 659-1905
(860) 652-3055
Mailing address
1175 HEBRON AVE, GLASTONBURY, CT 06033-2478
(860) 659-1905
(860) 652-3055
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2028-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020280
—
CT
Enumeration date
06/08/2011
Last updated
06/08/2011
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