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 |