| NPI | 1124174131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA SANDERSON Administrator 860-521-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 1015C) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-08-04 |