| NPI | 1578784658 |
|---|---|
| Doing Business As | MARSHALL LANE MANOR |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN MCCALLUM Office Manager 203-734-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 102RH) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-01-18 |