| NPI | 1366409559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREE D ACAMPORA Administrator 203-795-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 000091769) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-01-30 |