Organization
SAINT JOSEPHS LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SANTERRE CPA (CFO)
(789) 471-5146
Entity
Organization
Contact information
Practice address
14 CLUB ROAD, WINDHAM, CT 06280
(860) 456-1107
(860) 450-7114
Mailing address
14 CLUB ROAD, WINDHAM, CT 06280
(860) 456-1107
(860) 450-7114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2039C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020397
—
CT
01
—
894
ANTHEM BLUE CROSS
CT
01
—
IV5668
HEALTHNET INPATIENT
CT
01
—
OV1833
HEALTHNET OUTPATIENT
CT
Enumeration date
10/14/2006
Last updated
08/26/2025
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