Organization
MIDDLEBURY CONVALESCENT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE B FEOLA (ACCOUNTING MANAGER)
(203) 758-2471
Entity
Organization
Contact information
Practice address
778 MIDDLEBURY RD, MIDDLEBURY, CT 06762-2401
(203) 758-2471
(203) 598-3449
Mailing address
778 MIDDLEBURY RD, MIDDLEBURY, CT 06762-2401
(203) 758-2471
(203) 598-3449
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
704-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000007047
—
CT
Enumeration date
09/15/2006
Last updated
08/22/2020
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