Organization
162 SOUTH BRITAIN ROAD OPERATING COMPANY II, LLC
Active
Other names
River Glen Health Care Center.
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY VAZQUEZ (VP, SPECIAL PROJECTS)
(978) 930-6051
Entity
Organization
Contact information
Practice address
162 SOUTH BRITAIN ROAD, SOUTHBURY, CT 06488
(203) 264-9600
(203) 264-9603
Mailing address
162 SOUTH BRITAIN ROAD, SOUTHBURY, CT 06488
(203) 264-9600
(203) 264-9603
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2280
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009431
—
DE
Enumeration date
07/13/2005
Last updated
12/15/2023
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