| NPI | 1669406047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNEMARIE SHIROKA Administrator 860-928-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CT 000042600) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |