Ct Watermark 3030, LLC
Skilled Nursing Facility in Bridgeport, CT. Organization (NPI-2).
NPI number1720439391
StatusActive
Last updated in NPPESJun 24, 2016
Details
- NPI
- 1720439391
- Entity type
- Organization (NPI-2)
- Legal business name
- Ct Watermark 3030, LLC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2016
- Last updated
- Jun 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 2430 | CT | Yes |
Practice location
3030 Park AveBridgeport, CT 06604-1138
Phone 203-374-5611 · Fax 203-374-2871
Mailing address
2020 W Rudasill RdTucson, AZ 85704-7800
Phone 520-797-4000 · Fax 520-797-7757
Authorized official
Greta Frazier
Director
5207974000
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