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Organization

CANDLEWOOD NEW MILFORD LLC

Active
Other names
Candlewood Valley Health and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARIO SINICARIELLO-IOTH (VICE PRESIDENT)
(440) 439-3400
Entity
Organization

Contact information

Practice address
30 PARK LANE EAST, NEW MILFORD, CT 06776
(860) 355-0971
(860) 210-1383
Mailing address
30 PARK LANE EAST, NEW MILFORD, CT 06776
(860) 355-0971
(860) 210-1383

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2207C
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
795
ANTHEM
Enumeration date
10/24/2006
Last updated
08/22/2020
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