Organization
OAKCLIFF CONVALESCENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND T. CRUESS (ADMINISTRATOR)
(203) 753-0060
Entity
Organization
Contact information
Practice address
71 PLAZA AVE, WATERBURY, CT 06710-1504
(203) 753-0060
(203) 755-9406
Mailing address
71 PLAZA AVE, WATERBURY, CT 06710-1504
(203) 753-0060
(203) 755-9406
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1688
CT
314000000X
Skilled Nursing Facility
3806
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3806
—
CT
Enumeration date
05/17/2007
Last updated
09/11/2025
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