| NPI | 1760628390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS RODOWICZ Member 860-556-9177 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 00002274) |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2009-01-03 |