Organization · NPI-2

Marathon Healthcare Of West Haven

Skilled Nursing Facility · West Haven, CT

NPI number1902843279

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1902843279
Entity type: Organization (NPI-2)
Legal business name: Marathon Healthcare Of West Haven
Organization subpart: No
Enumeration date: Jun 2, 2006
Last updated: Aug 22, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	2302	CT	Yes

Practice location

310 Terrace Ave
West Haven, CT 06516-2638

Phone 203-932-2247 · Fax 203-931-2869

Mailing address

99 E River Dr
Riverview Square 8th Floor
East Hartford, CT 06108-3288

Phone 860-528-0007 · Fax 860-528-5711

Authorized official

Andrew Czerniewski
Chief Financial Officer
8602907514

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.