NPI | 1194985457 |
---|---|
Doing Business As | WORTHINGTON MANOR |
Entity Type | Organization |
Authorized Contact | FRANK COZEAN Vice President 860-829-4520 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CT 1664-RCH) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |