| NPI | 1629447727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER REMIGIO-MANDAC Ap RN 203-535-9741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003749) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CT 003749) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2016-04-07 |