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Organization

WAVENY CARE CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY VICKERS (CEO)
(203) 594-5316
Entity
Organization

Contact information

Practice address
3 FARM RD, NEW CANAAN, CT 06840-6626
(203) 594-5200
(203) 594-5412
Mailing address
3 FARM RD, NEW CANAAN, CT 06840-6626
(203) 594-5200
(203) 594-5412

Taxonomy

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

Other

Enumeration date
10/03/2005
Last updated
08/22/2020
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