| NPI | 1467401075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAROOQ H KHAN Administrator 203-624-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 1015-C) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |