Organization
SOUTHINGTON CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE ANNETTE JOBIN COTA/L (OCCUPOATIONAL THERAPY ASSISTANT)
(860) 378-1234
Entity
Organization
Contact information
Practice address
45 MERIDEN AVE, SOUTHINGTON, CT 06489-3214
(860) 378-1234
Mailing address
19 THISTLE LN, BRISTOL, CT 06010-8056
(860) 584-8637
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000767
CT
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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