| NPI | 1912056805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KYLE VITALI Billing Administrator 203-466-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CT AL-0028) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-01-28 |