Organization
LUTHERAN HOME OF SOUTHBURY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY BARD (CEO ADMINISTRATOR)
(203) 264-9135
Entity
Organization
Contact information
Practice address
990 MAIN ST N, SOUTHBURY, CT 06488-1267
(203) 264-9135
(203) 262-6714
Mailing address
990 MAIN ST N, SOUTHBURY, CT 06488-1267
(203) 264-9135
(203) 262-6714
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
699C
CT
Other
Enumeration date
07/27/2005
Last updated
11/27/2007
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