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07D0671577 CLIA NUMBER - MATTATUCK HEALTH CARE FACILITY INC

Laboratory Demographics

CLIA Number: 07D0671577

Facility Name: MATTATUCK HEALTH CARE FACILITY INC

Facility Address:
9 CLIFF ST
WATERBURY, CT
ZIP 06710
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Facility Phone Number: 203 573-9924

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1609863737

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 07D0671577
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MATTATUCK HEALTH CARE FACILITY INC
Street 9 CLIFF ST
City WATERBURY
State CT
ZIP 06710
Phone 203 573-9924
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024