Organization
ADVANCED CENTER FOR NURSING & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MENAJEM SALAMON (MEMBER)
(718) 882-6400
Entity
Organization
Contact information
Practice address
169 DAVENPORT AVE, NEW HAVEN, CT 06519-1319
(203) 789-1650
Mailing address
169 DAVENPORT AVE, NEW HAVEN, CT 06519-1319
(203) 789-1650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2378
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000323
—
CT
Enumeration date
06/20/2016
Last updated
05/27/2021
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