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Organization

SHADY OAKS ASSISTED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEAN PATRICIA BELANGER (ADMINISTRATOR)
(860) 583-1526
Entity
Organization

Contact information

Practice address
344 STEVENS ST, BRISTOL, CT 06010-2769
(860) 583-1526
(860) 583-1297
Mailing address
344 STEVENS ST, BRISTOL, CT 06010-2769
(860) 583-1526
(860) 583-1297

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
002
CT

Other

Enumeration date
11/13/2008
Last updated
11/13/2008
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