Organization
MAPLE VIEW MANOR OF CT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY BOKOW (VICE PRESIDENT, CFO)
(516) 705-4800
Entity
Organization
Contact information
Practice address
856 MAPLE STREET, ROCKY HILL, CT 06067
(860) 563-2861
(860) 257-9128
Mailing address
856 MAPLE STREET, ROCKY HILL, CT 06067
(860) 563-2861
(860) 257-9128
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009407
—
CT
Enumeration date
12/04/2006
Last updated
06/12/2015
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