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Organization

HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP

Active
Parent organization
HARBORSIDE HEALTHCARE LP
Other names
Madison House
Organization subpart
Yes

Provider details

NPI number
Legal business name
HARBORSIDE HEALTHCARE LP
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization

Contact information

Practice address
34 WILDWOOD AVE, MADISON, CT 06443
(732) 566-6400
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2201-C
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21444
CT
Enumeration date
07/07/2006
Last updated
10/20/2021
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