Organization
WADSWORTH GLEN, INC
Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES
Other names
Wadsworth Glen Health Care & Rehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENA HEALTH CARE ASSOCIATES
Authorized official
MICHAEL E MOSIER (CFO)
(860) 751-3900
Entity
Organization
Contact information
Practice address
30 BOSTON RD, MIDDLETOWN, CT 06457-3543
(860) 346-9299
(860) 343-5030
Mailing address
30 BOSTON RD, MIDDLETOWN, CT 06457-3543
(860) 346-9299
(860) 343-5030
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2025C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020256
—
CT
Enumeration date
02/08/2012
Last updated
04/12/2013
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