Organization
WESTSIDE CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIRS S WRIGHT (MANAGER)
(860) 570-2140
Entity
Organization
Contact information
Practice address
349 BIDWELL STREET, MANCHESTER, CT 06040
(860) 647-9191
(860) 643-6147
Mailing address
349 BIDWELL STREET, MANCHESTER, CT 06040
(860) 647-9191
(860) 643-6147
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2291
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007807
—
CT
01
—
775
BCBS
—
Enumeration date
12/05/2006
Last updated
10/10/2012
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