Organization
MYSTIC HEALTHCARE & REHABILITATION CENTER LLC
Active
Other names
Mystic Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN SBRIGLIO (CEO)
(203) 381-1327
Entity
Organization
Contact information
Practice address
475 HIGH STREET, MYSTIC, CT 06355
(860) 536-6070
(860) 536-9480
Mailing address
475 HIGH STREET, MYSTIC, CT 06355
(860) 536-6070
(860) 536-9480
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
839-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008391
—
CT
Enumeration date
05/12/2006
Last updated
08/26/2014
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