| NPI | 1063604601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA CORINNE HLADKY Occupational Therapist 203-915-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 003103) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |