| NPI | 1013300664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY D. SMITH Manager 203-557-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CT 0114) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |