NPI 1861456840

Village Manor INC Bankruptcy

Organisation Skilled Nursing Facility Plainfield, CT

Practice location

Address: 16 Windsor Avenue, Plainfield, CT 06374
Phone: (860) 564-4081
Fax: (860) 564-1472

Authorised official

Name: Timothy John Coburn
Title: Administrator/Manager
Phone: (860) 564-4081

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 2003-C (CT)

Other Skilled Nursing Facility providers in Connecticut →

Registry record

NPI: 1861456840
Entity type: Organization
NPI issued: 14 Apr 2006
Record last updated: 13 Jan 2011

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.