| NPI | 1962403576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OBERG Vice President Of Health Care Serv. 203-272-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 666C) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2020-08-22 |