| NPI | 1063845865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER STEVENS Occupational Therapy Assistant 860-951-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |