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Organization

EVERGREEN WOODS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CONSTANCE WALDINGER RN, ADMINISTRATOR (EXECUTIVE DIRECTOR)
(203) 488-8000
Entity
Organization

Contact information

Practice address
88 NOTCH HILL RD, NORTH BRANFORD, CT 06471-1846
(203) 483-3205
(203) 483-3202
Mailing address
88 NOTCH HILL RD, NORTH BRANFORD, CT 06471-1846
(203) 483-3205
(203) 483-3202

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2189C
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2189C
FACILITY LICENSE NUMBER
CT
Enumeration date
11/07/2005
Last updated
08/22/2020
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