Organization
NEW MILFORD REHABILITATION LLC
Active
Other names
Candlewood Valley Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECHAI BLASS LNHA (MANAGING MEMBER)
(860) 355-0971
Entity
Organization
Contact information
Practice address
30 PARK LN E, NEW MILFORD, CT 06776-2510
(860) 355-0471
(860) 350-9214
Mailing address
30 PARK LN E, NEW MILFORD, CT 06776-2510
(860) 355-0471
(860) 350-9214
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000009266
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009266
—
CT
Enumeration date
02/01/2016
Last updated
02/01/2016
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