Organization
ATHENA MONTOWESE SNF LLC
Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES INC
Other names
Athena Health Care Systems, Montowese Health & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENA HEALTH CARE ASSOCIATES INC
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3915
Entity
Organization
Contact information
Practice address
163 QUINNIPIAC AVE, NORTH HAVEN, CT 06473-3623
(203) 624-3303
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
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010157
—
CT
Enumeration date
10/26/2017
Last updated
02/15/2023
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