NPI | 1174520977 |
---|---|
Doing Business As | BRISTOL HEALTH INGRAHAM MANOR |
Entity Type | Organization |
Authorized Contact | ASHLEY SOYKA Administrator 860-584-3411 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2056-C) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2021-03-09 |