| NPI | 1275515199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA DUREZA Administrator 860-236-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 208-C) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2019-12-03 |