Organization
GREENTREE MANOR NURSING AND REHABILITATION CENTER INC
Active
Parent organization
RYDERS HEALTH MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
RYDERS HEALTH MANAGEMENT
Authorized official
MR. KENNETH S KOPCHIK (ADMINISTRATOR)
(860) 442-0647
Entity
Organization
Contact information
Practice address
4 GREENTREE DR, WATERFORD, CT 06385-4116
(860) 442-0647
(860) 439-0821
Mailing address
4 GREENTREE DR, WATERFORD, CT 06385-4116
(860) 442-0647
(860) 439-0821
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2206C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008425
—
CT
Enumeration date
09/22/2005
Last updated
01/03/2014
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