Organization
MANCHESTER CT SNF LLC
Active
Other names
Crestfield Rehabilitation Center & Fenwood Manor
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
565 VERNON ST, MANCHESTER, CT 06042-2409
(860) 643-5151
Mailing address
135 SOUTH RD, FARMINGTON, CT 06032-2556
(860) 751-3915
(860) 751-3905
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010140
—
CT
Enumeration date
10/30/2018
Last updated
02/17/2023
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