| NPI | 1205979457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A. MACDONALD Administrator 860-283-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 932-C) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |