| NPI | 1396814547 |
|---|---|
| Doing Business As | COCCOMO MEMORIAL |
| Entity Type | Organization |
| Authorized Contact | MARK HAMBLEY CFO 860-678-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2074-C) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-07-24 |