NPI | 1154725125 |
---|---|
Doing Business As | AUTUMN LAKE HEALTHCARE AT NORWALK |
Entity Type | Organization |
Authorized Contact | ARYEH STERN Member 732-358-6883 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2401) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2015-04-29 |