| NPI | 1235251992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TERRANCE MUNRO Administrator 203-389-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2317) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |