| NPI | 1508839531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA BLOOM Director Of Ar 860-344-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 475039) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: VT 0475039) |
| 310400000X Assisted Living Facility (Licence: VT 047W089) | |
| 311Z00000X Custodial Care Facility (Licence: VT 047W049) | |
| 385H00000X Respite Care (Licence: VT 047R023) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-12-28 |