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General NPI Number Information
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NPI Number | 1437152287
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Entity Type | Organization
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Legal Business Name | WINDHAM NURSING & REHABILITATION LLC
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 103 NORTH RD
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City | WINDHAM
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State | CT
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Zip | 06280-1311
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Country | US
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Telephone | 860-423-4636
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Fax | 860-423-5105
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Provider Business Mailing Address
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Address Line | 103 NORTH RD
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City | WINDHAM
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State | CT
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Zip | 06280-1311
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Country | US
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Telephone | 860-423-4636
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Fax | 860-423-5105
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Authorized Official
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Title or Position | CEO
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Name | MARTIN SBRIGLIO
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Credential |
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Telephone | 203-381-1327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2188C
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License Number State | CT
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