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 |