| NPI | 1346408796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TAN KAMLANI Nurse Practitioner 203-763-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 003040) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 01334712) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2014-07-16 |