Organization · Type 2 NPI

55 Kondracki Lane Operations LLC

Skilled Nursing Facility · Wallingford, CT

NPI number 1275918443 Active

Practice location

55 Kondracki Ln
Wallingford, CT 06492-4951

Fax (203) 265-6772

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	00000 (CT)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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NPI record

NPI: 1275918443
Entity type: Organization (Type 2)
Issued: Jul 29, 2015
Last updated: Sep 21, 2020
Status: Active
Subpart: Yes of Summit Care LLC

Other names

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Quinnipiac Valley Center · doing business as
Quinnipiac Valley Center · doing business as

Authorized official

Michael T Berg
Assistant Secretary
(505) 468-4742

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About NPI 1275918443

55 Kondracki Lane Operations LLC's National Provider Identifier is 1275918443, issued on Jul 29, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wallingford, CT. The record was last updated on Sep 21, 2020.