Organization
WV-PARKWAY PAVILION LLC
Active
Parent organization
WACHUSETT VENTURES, LLC
Other names
Parkway Pavilion Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WACHUSETT VENTURES, LLC
Authorized official
MR. RAYMOND A. DENNEHY (PRINCIPAL)
(978) 464-7729
Entity
Organization
Contact information
Practice address
1157 ENFIELD ST, ENFIELD, CT 06082-4367
(860) 745-1641
Mailing address
1157 ENFIELD ST, ENFIELD, CT 06082-4367
(860) 745-1641
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2395
CT
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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