915 Ella T Grasso Boulevard Operations LLC
Skilled Nursing Facility in New Haven, CT. Organization (NPI-2).
NPI number1760633366
StatusActive
Last updated in NPPESJun 5, 2009
Details
- NPI
- 1760633366
- Entity type
- Organization (NPI-2)
- Legal business name
- 915 Ella T Grasso Boulevard Operations LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2008
- Last updated
- Jun 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 2254 | CT | Yes |
Other names
- University Skilled Nursing And Rehabilitation (Doing Business As)
Practice location
915 Ella T Grasso BlvdNew Haven, CT 06519-5516
Phone 203-865-5155 · Fax 203-865-5799
Mailing address
915 Ella T Grasso BlvdNew Haven, CT 06519-5516
Phone 203-865-5155 · Fax 203-865-5799
Authorized official
Marcella Wilkinson
Corporate Director
6109254045
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