| NPI | 1972720076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN GAULIN Executive Director 860-276-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CT AL-0035) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-09-19 |