Organization
GLADEVIEW HEALTH CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY M. LACASSE (ADMINISTRATOR)
(860) 388-6696
Entity
Organization
Contact information
Practice address
60 BOSTON POST RD, OLD SAYBROOK, CT 06475
(860) 388-6696
(860) 395-0093
Mailing address
60 BOSTON POST RD, OLD SAYBROOK, CT 06475-1503
(860) 388-6696
(860) 395-0093
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2024-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020248
—
CT
Enumeration date
06/01/2006
Last updated
08/20/2018
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