NPI | 1144624289 |
---|---|
Doing Business As | THREE RIVERS |
Entity Type | Organization |
Authorized Contact | JOHN B WYNNE Manager 860-889-0266 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2014-10-17 |
Last Update Date | 2015-03-18 |