| NPI | 1336507722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORDECHAI BLASS Managing Member 860-355-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 000009266) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |