Organization
MARATHON HEALTHCARE CENTER OF NEW HAVEN LLC
Active
Other names
Marathon Healthcare Center of New Haven LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS A. BELMONTE (RECEIVER)
(860) 644-6780
Entity
Organization
Contact information
Practice address
181 CLIFTON ST, NEW HAVEN, CT 06513-3319
(203) 467-1666
(203) 469-7213
Mailing address
99 EAST RIVER DR., 1ST FLOOR, EAST HARTFORD, CT 06108-3288
(860) 289-8762
(860) 528-5711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2325
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008177
—
CT
05
—
00312152
—
NY
Enumeration date
06/02/2006
Last updated
06/03/2009
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