| NPI | 1740527365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALESSANDRO Owner 860-455-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 000477) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 000477) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-03-04 |