Organization
ATHENA MIDDLESEX LLC
Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES
Other names
MIDDLESEX HEALTH CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENA HEALTH CARE ASSOCIATES
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
100 RANDOLPH RD, MIDDLETOWN, CT 06457-5637
(860) 344-0353
(860) 346-1932
Mailing address
100 RANDOLPH RD, MIDDLETOWN, CT 06457-5637
(860) 344-0353
(860) 346-1932
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2263
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009472
—
CT
01
—
827
BCBS
CT
Enumeration date
08/24/2006
Last updated
02/16/2023
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