NPI | 1285628594 |
---|---|
Doing Business As | AVERY HEIGHTS |
Entity Type | Organization |
Authorized Contact | PATRICK J GILLAND President/CEO 860-527-9126 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 750-C) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 79RH) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2008-01-11 |