Organization
ATHENA MEADOWBROOK, LLC
Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES
Other names
Meadowbrook of Granby
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENA HEALTH CARE ASSOCIATES
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
350 SALMON BROOK ST, GRANBY, CT 06035-1842
(860) 653-9888
(860) 653-8938
Mailing address
350 SALMON BROOK ST, GRANBY, CT 06035-1842
(860) 653-9888
(860) 653-8938
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2080C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020800
—
CT
Enumeration date
04/12/2006
Last updated
02/15/2023
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