WINDHAM NURSING & REHABILITATION LLC
Skilled Nursing Facility
Windham, Connecticut
Provider NPI: 1437152287
Organization Information:Organization Name: WINDHAM NURSING & REHABILITATION LLC
Practice Location:
103 NORTH RD WINDHAM, CT 06280 US
Tel: 860-423-4636 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
103 NORTH RD WINDHAM, CT 06280 US
Tel: 860-423-4636 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CT | 2188C |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000006932 | CT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin