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Contact Information

WADSWORTH GLEN INC
30 BOSTON ROAD
MIDDLETOWN, CT06457
 Phone: 860-346-9299
 Fax: 860-343-5030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for WADSWORTH GLEN INC

NPI # 1730137993
LBN Legal business name WADSWORTH GLEN INC
Authorized official LAWRENCE SANTILLI - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2006
Last updated 02/16/2023 - About 3 years ago
Identifiers
CT License # 2025C
CT Medicaid 000020256
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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