Spectrum Healthcare Hartford, LLC
Skilled Nursing Facility in Hartford, CT. Organization (NPI-2).
NPI number1689655896
StatusActive
Last updated in NPPESAug 18, 2008
Details
- NPI
- 1689655896
- Entity type
- Organization (NPI-2)
- Legal business name
- Spectrum Healthcare Hartford, LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2005
- Last updated
- Aug 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 2286 | CT | Yes |
Other names
- Park Place Health Center (Doing Business As)
Practice location
5 Greenwood StHartford, CT 06106-2110
Phone 860-871-5454 · Fax 860-871-5757
Mailing address
5 Greenwood StHartford, CT 06106-2110
Phone 860-871-5454 · Fax 860-871-5757
Authorized official
Howard William Dickstein
Chief Executive Officer
8608715454
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