| NPI | 1588650840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH S KOPCHIK Administrator 860-442-0647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2206C) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2014-01-03 |