| NPI | 1043266422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KALCHTHALER Medical Director And CEO 9143-765-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: CT 041835) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |