NPI | 1376543751 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY BARD CEO Administrator 203-264-9135 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 699C) |
Enumeration Date | 2005-07-27 |
Last Update Date | 2007-11-27 |