Organization
WATERBURY EXTENDED CARE FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN VESS (CFO)
(860) 678-9755
Entity
Organization
Contact information
Practice address
35 BUNKER HILL RD, WATERTOWN, CT 06795-3304
(860) 274-5428
(860) 945-7034
Mailing address
35 BUNKER HILL RD, WATERTOWN, CT 06795-3304
(860) 274-5428
(860) 945-7034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1082-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010827
—
CT
Enumeration date
11/07/2006
Last updated
02/22/2017
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