93 W Main Operating LLC
NPI #1902332950 in Norwich, Connecticut
Provider Information
- NPI Number
- 1902332950
- Entity Type
- Organization
- Organization Name
- 93 W Main Operating LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 11, 2017
- Last Updated
- May 11, 2017
Practice Location
- Address
- 93 W TOWN ST
- City
- Norwich
- State
- Connecticut
- ZIP Code
- 06360-2262
- Phone
- (860) 889-2614
Authorized Official
- Name
- MS. SHANNON RUBIN
- Title
- SOLE MBR
- Phone
- (860) 889-2614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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