| NPI | 1942221577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI S GOLEC Administrator 203-929-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 152rh) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |