NPI 1770653339

Waterbury Extended Care Facility

Organisation Nursing Facility/Intermediate Care Facility Watertown, CT

Practice location

Address: 35 Bunker Hill Rd, Watertown, CT 06795-3304
Phone: (860) 274-5428
Fax: (860) 945-7034

Authorised official

Name: Mark Hambley
Title: Cfo
Phone: (860) 678-9755

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 1082-C (CT)

Other Nursing Facility/Intermediate Care Facility providers in Connecticut →

Registry record

NPI: 1770653339
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 22 Aug 2020

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.