Organization
CT WATERMARK 3030, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA FRAZIER (DIRECTOR)
(520) 797-4000
Entity
Organization
Contact information
Practice address
3030 PARK AVE, BRIDGEPORT, CT 06604-1138
(203) 374-5611
(203) 374-2871
Mailing address
2020 W RUDASILL RD, TUCSON, AZ 85704-7800
(520) 797-4000
(520) 797-7757
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2430
CT
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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