341 Jordan Lane Operating Company II LLC
NPI #1023016961 in Wethersfield, Connecticut
Provider Information
- NPI Number
- 1023016961
- Entity Type
- Organization
- Organization Name
- 341 Jordan Lane Operating Company II LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 13, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 341 JORDAN LANE
- City
- Wethersfield
- State
- Connecticut
- ZIP Code
- 06109-1128
- Phone
- (860) 563-0101
Authorized Official
- Name
- KEVIN P BRESLIN
- Title
- EXECUTIVE VP
- Phone
- (201) 242-4004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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