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Organization

MARY ELIZABETH NURSING CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN VESS (CFO)
(860) 678-9755
Entity
Organization

Contact information

Practice address
28 BROADWAY, MYSTIC, CT 06355-2833
(860) 536-9655
(860) 536-4571
Mailing address
28 BROADWAY AVE, MYSTIC, CT 06355-2833
(860) 536-9655
(860) 536-4571

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1068-C
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000010637
CT
Enumeration date
03/07/2007
Last updated
09/06/2016
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