34 Wildwood Ave Opco LLC
NPI #1750168704 in Madison, Connecticut
Provider Information
- NPI Number
- 1750168704
- Entity Type
- Organization
- Organization Name
- 34 Wildwood Ave Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 13, 2023
- Last Updated
- Sep 13, 2023
Practice Location
- Address
- 34 WILDWOOD AVE
- City
- Madison
- State
- Connecticut
- ZIP Code
- 06443-2102
- Phone
- (732) 358-6883
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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