| NPI | 1023273760 |
|---|---|
| Other Name | BVII MYSTIC LLC |
| Entity Type | Organization |
| Authorized Contact | MARIKATE A LYNCH Executive Director 860-536-1133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CT 0059) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |