| NPI | 1629053079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA DALE Executive Director 203-865-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2167-C) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-08-22 |