Organization
88 CLARK OPERATING LLC
Active
Other names
New London Sub Acute and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RUBIN (SOLE MBR)
(860) 442-0471
Entity
Organization
Contact information
Practice address
88 CLARK LN, WATERFORD, CT 06385-2118
(860) 442-0471
Mailing address
88 CLARK LN, WATERFORD, CT 06385-2118
(860) 442-0471
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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