| NPI | 1841385804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANDREW JOHNSON Administrator 860-673-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 1035C) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-01-10 |