| NPI | 1063411080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BATES Administrator 203-375-5894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2197-C) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2015-05-11 |