| NPI | 1912982604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA BLOOM Collections Supervisor 860-344-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 02947) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-12-28 |