Village Manor INC Bankruptcy
NPI #1861456840 in Plainfield, Connecticut
Provider Information
- NPI Number
- 1861456840
- Entity Type
- Organization
- Organization Name
- Village Manor INC Bankruptcy
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 14, 2006
- Last Updated
- Jan 13, 2011
Practice Location
- Address
- 16 WINDSOR AVENUE
- City
- Plainfield
- State
- Connecticut
- ZIP Code
- 06374
- Phone
- (860) 564-4081
Authorized Official
- Name
- TIMOTHY JOHN COBURN
- Title
- ADMINISTRATOR/MANAGER
- Phone
- (860) 564-4081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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