| NPI | 1669697983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J TREVELIN Controller 860-920-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 784-C) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |