| NPI | 1811087018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DOLCE Controller 203-259-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2307-C) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-10-15 |