| NPI | 1609863737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN V DESENA Administrator 203-573-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 144-RH) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2014-04-11 |