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General NPI Number Information
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NPI Number | 1871613562
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Entity Type | Organization
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Legal Business Name | ROSEGARDEN HEALTH AND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 3584 E MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06705-3850
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Country | US
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Telephone | 203-754-4181
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Fax | 203-596-1835
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Provider Business Mailing Address
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Address Line | 600 BOND ST
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City | BRIDGEPORT
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State | CT
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Zip | 06610-2205
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Country | US
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Telephone | 203-384-6400
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Fax | 203-384-6441
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SOBHA LAMONTAGNE
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Credential |
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Telephone | 203-754-4181
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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 | 3300
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License Number State | CT
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