| NPI | 1508860008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CONNOLLY Executive Director 860-229-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 2065-C) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CT 2065-C) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-08-22 |