Organization
BETHEL HEALTH AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY G. BUTLER (ASSISTANT ADMINISTRATOR)
(203) 830-4180
Entity
Organization
Contact information
Practice address
13 PARK LAWN DR, BETHEL, CT 06801-1043
(203) 830-4180
(203) 830-4185
Mailing address
13 PARK LAWN DR, BETHEL, CT 06801-1043
(203) 830-4180
(203) 830-4185
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2218C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021387
—
CT
01
—
2218C
DEPT OF HEALTH LICENSE
CT
Enumeration date
09/01/2006
Last updated
04/29/2011
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