| NPI | 1205873742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY M. LACASSE Administrator 860-388-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2024-C) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-08-20 |