Organization
MATTATUCK HEALTH CARE FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN V DESENA (ADMINISTRATOR)
(203) 573-9924
Entity
Organization
Contact information
Practice address
9 CLIFF ST, WATERBURY, CT 06710-2125
(203) 573-9924
(203) 573-0201
Mailing address
9 CLIFF ST, WATERBURY, CT 06710-2125
(203) 573-9924
(203) 573-0201
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
144-RH
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000091447
—
CT
Enumeration date
10/04/2005
Last updated
04/11/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us