| NPI | 1003128588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA DEFLORIO Regional Director Of Finance 800-685-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2207-C) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |