| NPI | 1871613562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOBHA LAMONTAGNE Administrator 203-754-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 3300) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2017-11-08 |