Organization
FARMINGTON REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HAGGERTY DOYLE II (ADMINISTRATOR)
(860) 677-1671
Entity
Organization
Contact information
Practice address
416 COLT HWY, FARMINGTON, CT 06032-2534
(860) 677-1671
(860) 677-2217
Mailing address
416 COLT HWY, FARMINGTON, CT 06032-2534
(860) 677-1671
(860) 677-2217
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2332
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009241
—
CT
Enumeration date
08/06/2008
Last updated
10/03/2008
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