| NPI | 1558351247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BOUDREAU-SCOTT Administrator 203-925-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 812-C) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |