| NPI | 1205171626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE CAROLLE JOSEPH Family Nurse Practitioner 203-345-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 005094) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |