Candlewood Valley Care Ctr

Organization Active NPI Skilled Nursing Facility · New Milford, CT

NPI 1003128588 · NPPES record last updated Jul 13, 2010

Key facts

NPI
1003128588
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
2207-C (CT)
Legal business name
CANDLEWOOD VALLEY CARE CTR
Practice address
30 Park LN E
New Milford, CT 06776-2510
Phone
(800) 685-8180
Fax
(203) 665-6455
NPI assigned
Jul 13, 2010
Organization subpart
No

Authorized official

Name
Mrs. Maritza Deflorio
Title
Regional Director of Finance
Phone
(800) 685-8180

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2207-C CT Yes

Addresses

Primary practice location

30 Park LN E
New Milford, CT 06776-2510

Mailing address

30 Park LN E
New Milford, CT 06776-2510
Phone (800) 685-8180

Other identifiers

IdentifierTypeStateIssuer
000009266MedicaidCT

Other names

  • CANDLEWOOD VALLEY CARE CTR Former legal business name

Other providers in New Milford, CT

All providers in New Milford, CT · Skilled Nursing Facility in Connecticut

Sources for this page

Verify at the official NPI Registry.