| NPI | 1194030577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE JEANNE FOGEL Physical Therapist Assistand 203-720-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 000186) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |