Organization
SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENAJEM SALAMON (PRINCIPAL)
(718) 882-6400
Entity
Organization
Contact information
Practice address
930 MILL HILL TER, SOUTHPORT, CT 06890-1265
(203) 259-7894
Mailing address
930 MILL HILL TER, SOUTHPORT, CT 06890-1265
(203) 259-7894
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008508
—
CT
Enumeration date
05/27/2021
Last updated
05/27/2021
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