Organization
EASTERN CT HEALTH SYSTEMS INC
Active
Other names
Fountainview Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL PETTEY LNHA (ADMINISTRATOR)
(860) 442-0471
Entity
Organization
Contact information
Practice address
88 CLARK LANE, WATERFORD, CT 06385
(860) 442-0471
(860) 440-3574
Mailing address
88 CLARK LANE, WATERFORD, CT 06385
(860) 442-0471
(860) 440-3574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1048C
CT
Other
Enumeration date
09/21/2005
Last updated
08/22/2020
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