88 Clark Operating LLC
NPI #1275069221 in Waterford, Connecticut
Provider Information
- NPI Number
- 1275069221
- Entity Type
- Organization
- Organization Name
- 88 Clark Operating LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 11, 2017
- Last Updated
- May 11, 2017
Practice Location
- Address
- 88 CLARK LN
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-2118
- Phone
- (860) 442-0471
Authorized Official
- Name
- SHANNON RUBIN
- Title
- SOLE MBR
- Phone
- (860) 442-0471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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