Tc Healthcare I, LLC
Skilled Nursing Facility in New Haven, CT. Organization (NPI-2).
NPI number1295997526
StatusActive
Last updated in NPPESJun 27, 2008
Details
- NPI
- 1295997526
- Entity type
- Organization (NPI-2)
- Legal business name
- Tc Healthcare I, LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2008
- Last updated
- Jun 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- New Haven Health Care Facility (Doing Business As)
Practice location
915 Ella T Grasso BlvdNew Haven, CT 06519-5516
Phone 203-865-5155 · Fax 203-865-5799
Mailing address
86 Juniper LnGlastonbury, CT 06033-2515
Phone 860-930-0091
Authorized official
Timothy Coburn
Officer
8609300091
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