| NPI | 1144517913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA RICHARDSON Program Manager 860-928-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 004387) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |