NPI 1306000823

The Village at South Farms

Organisation Assisted Living Facility Middletown, CT

Practice location

Address: 645 Saybrook Rd, Middletown, CT 06457-4746
Phone: (860) 344-8788

Authorised official

Name: Justin Grady
Title: Executive Director
Phone: (860) 344-8788

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 0059 (CT)

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Registry record

NPI: 1306000823
Entity type: Organization
NPI issued: 14 Jul 2008
Record last updated: 14 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.