NPI | 1669474961 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET ALICIENE Administrator 203-753-7205 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 494C) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2020-08-22 |