| NPI | 1093712325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS KRETZMER Administrator 203-255-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 606-C) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2019-10-16 |