| NPI | 1962833178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE DOROTHY CREAN Physical Therapist 203-754-7359 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 003550) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |