Organization
WV-CROSSINGS WEST LLC
Active
Parent organization
WACHUSETT VENTURES, LLC
Other names
Wachusett Ventures LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WACHUSETT VENTURES, LLC
Authorized official
MR. RAYMOND A. DENNEHY III (PRINCIPAL)
(978) 464-7729
Entity
Organization
Contact information
Practice address
89 VIETS ST, NEW LONDON, CT 06320-3355
(860) 447-1471
Mailing address
89 VIETS ST, NEW LONDON, CT 06320-3355
(860) 447-1471
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2393
CT
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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