Organization
B-IX EDGEHILL SNF LLC
Active
Other names
Edgehill
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H GRAPE (PRESIDENT)
(781) 489-7563
Entity
Organization
Contact information
Practice address
122 PALMERS HILL RD, STAMFORD, CT 06902-2134
(203) 323-2323
(203) 323-6437
Mailing address
201 JONES RD STE 300WEST, WALTHAM, MA 02451-1600
(781) 489-7106
(781) 489-6663
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PENDING
CT
Other
Enumeration date
03/09/2011
Last updated
11/28/2018
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