| NPI | 1316946601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SR. MICHELLE ANNE REHO Administrator 203-268-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 684) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 1690) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 684) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |