| NPI | 1154318335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARIE BOUSQUET CFO 703-789-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 32-C) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2008-08-14 |