| NPI | 1225162100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY SANDBERG Physical Therapist Assistant 860-774-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 000475) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-25 |