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General NPI Number Information
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NPI Number | 1811087224
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPHS LIVING CENTER INC
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 14 CLUB ROAD
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City | WINDHAM
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State | CT
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Zip | 06280
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Country | US
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Telephone | 860-456-1107
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Fax | 860-450-7114
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Provider Business Mailing Address
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Address Line | 14 CLUB ROAD
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City | WINDHAM
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State | CT
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Zip | 06280
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Country | US
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Telephone | 860-456-1107
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Fax | 860-450-7114
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Authorized Official
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Title or Position | CFO
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Name | JENNIFER SANTERRE
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Credential | CPA
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Telephone | 789-471-5146
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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 | 2039C
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License Number State | CT
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