581 Poquonock Avenue Opco LLC
NPI #1093524613 in Windsor, Connecticut
Provider Information
- NPI Number
- 1093524613
- Entity Type
- Organization
- Organization Name
- 581 Poquonock Avenue Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 7, 2025
- Last Updated
- Jan 7, 2025
Practice Location
- Address
- 581 POQUONOCK AVE
- City
- Windsor
- State
- Connecticut
- ZIP Code
- 06095-2202
- Phone
- (860) 688-7211
Authorized Official
- Name
- SAM STERN
- Title
- CFO
- Phone
- (877) 567-0402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Respite Care |
| Skilled Nursing Facility |
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