Organization
915 ELLA T GRASSO BOULEVARD OPERATIONS LLC
Active
Other names
University Skilled Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA WILKINSON (CORPORATE DIRECTOR)
(610) 925-4045
Entity
Organization
Contact information
Practice address
915 ELLA T GRASSO BLVD, NEW HAVEN, CT 06519-5516
(203) 865-5155
(203) 865-5799
Mailing address
915 ELLA T GRASSO BLVD, NEW HAVEN, CT 06519-5516
(203) 865-5155
(203) 865-5799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2254
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020496
—
CT
Enumeration date
10/02/2008
Last updated
06/05/2009
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