NPI | 1760466916 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA BLOOM Director Of Ar 860-344-3884 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 027-0000269) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2007-12-28 |