Organization
NORTHBRIDGE HEALTH CARE CENTER, INC.
Active
Other names
Northbridge Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE G. SANTILLI (PRESIDENT/CEO)
(860) 751-3900
Entity
Organization
Contact information
Practice address
2875 MAIN STREET, BRIDGEPORT, CT 06606
(203) 336-0232
(203) 336-0234
Mailing address
2875 MAIN STREET, BRIDGEPORT, CT 06606
(203) 336-0232
(203) 336-0234
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2183C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010835
—
CT
01
—
IR8003
HEALTHNET
CT
Enumeration date
05/18/2006
Last updated
02/16/2023
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