NPI | 1790767077 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL SPRAGUE Executive Director 203-237-4338 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 541C) |
Enumeration Date | 2005-11-14 |
Last Update Date | 2021-04-07 |