| NPI | 1801880216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNEMARIE SHIROKA Administrator 860-928-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2171-C) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-08-22 |