Organization
CLINTONVILLE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL D SIMONETTI (ADMINISTRATOR)
(203) 239-8017
Entity
Organization
Contact information
Practice address
201 CLINTONVILLE RD, NORTH HAVEN, CT 06473-2409
(203) 239-8017
(203) 234-0758
Mailing address
201 CLINTONVILLE RD, NORTH HAVEN, CT 06473-2409
(203) 239-8017
(203) 234-0758
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
183-RH
CT
Other
Enumeration date
11/28/2006
Last updated
11/02/2007
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