| NPI | 1194043414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMMELA EMILY PIITS Otr/L 860-978-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 002198) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |