| NPI | 1366673063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDI HAMLIN OBRIEN Owner 860-206-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 003877) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CT 003877) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |