NPI | 1700810777 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN VINAL Executive Director 860-594-5330 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 993-C) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2006-07-10 |
Last Update Date | 2015-02-12 |