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NPI Code Detail

MEDICARE: SAYBROOK HEALTHCARE CENTER, INX

MEDICARE: SAYBROOK HEALTHCARE CENTER, INX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility000205CT

General Provider Information

NPI Number : 1104134071
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAYBROOK HEALTHCARE CENTER, INX
Provider Business Mailing Address
First Line : 1775 BOSTON POST RD
Second Line :
City : OLD SAYBROOK
State : CT
Zip : 06475-1643
Country : US
Telephone Number : 860-399-6216
Fax Number : 860-399-4053
Provider Business Practice Location Address
First Line : 1775 BOSTON POST RD
Second Line :
City : OLD SAYBROOK
State : CT
Zip : 06475-1643
Country : US
Telephone Number : 860-399-6216
Fax Number : 860-399-4053
Authorized Official
Title or Position : PHYSICAL THERAPIST ASST. REHAB DIR.
Name : MRS. JUANITA ELEASE GARRIDO
Credential :
Telephone Number : 860-300-6216
Provider Enumeration Date : 09/14/2010
Last Update Date : 09/14/2010

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Directions to “SAYBROOK HEALTHCARE CENTER, INX ” Practice Location

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