NPI | 1972633436 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CHARLES GINTER CFO 203-672-7817 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2051-c) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
261QR0400X Clinic/Center, Rehabilitation | |
311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CT 1665-RCH) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-27 |