1145 Poquonnock Road Operations LLC
NPI #1154502672 in Groton, Connecticut
Provider Information
- NPI Number
- 1154502672
- Entity Type
- Organization
- Organization Name
- 1145 Poquonnock Road Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 27, 2007
- Last Updated
- Jun 26, 2025
Practice Location
- Address
- 1145 POQUONNOCK RD
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-4620
- Phone
- (860) 446-9960
Authorized Official
- Name
- MICHAEL T BERG
- Title
- SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Skilled Nursing Facility |
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