Organization
KETTLE BROOK CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER S WRIGHT (MANAGER)
(860) 570-2140
Entity
Organization
Contact information
Practice address
96 PROSPECT HILL RD, EAST WINDSOR, CT 06088-9668
(860) 623-9846
(860) 292-1887
Mailing address
96 PROSPECT HILL RD, EAST WINDSOR, CT 06088-9668
(860) 623-9846
(860) 292-1887
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2219-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009530
—
CT
01
—
684
BC/BS
CT
Enumeration date
12/05/2006
Last updated
09/03/2020
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