Organization
ORCHARD GROVE SPECIALTY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HAMBLEY (CFO)
(860) 678-9755
Entity
Organization
Contact information
Practice address
5 RICHARD BROWN DRIVE, UNCASVILLE, CT 06382
(860) 848-8466
(860) 848-7456
Mailing address
5 RICHARD BROWN DRIVE, UNCASVILLE, CT 06382
(860) 848-8466
(860) 848-7456
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2306
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021064
—
CT
Enumeration date
12/04/2006
Last updated
04/01/2015
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