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Organization

LEDGECREST HEALTH CARE CENTER INC.

Active
Other names
Ledgecrest Health Care Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN VESS (CFO)
(860) 678-9755
Entity
Organization

Contact information

Practice address
154 KENSINGTON RD, KENSINGTON, CT 06037-2602
(860) 828-0583
(860) 828-4946
Mailing address
154 KENSINGTON RD, KENSINGTON, CT 06037-2602
(860) 828-0583
(860) 828-4946

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2046C
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000020462
CT
01
808
BC
CT
Enumeration date
07/15/2006
Last updated
07/29/2016
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