| NPI | 1881753127 |
|---|---|
| Other Name | CHARLOTTE SQUARE |
| Entity Type | Organization |
| Authorized Contact | GARY VASQUEZ Regional Manager 203-894-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: NC HAL-060-087) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-060-087) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |