| NPI | 1982980546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALEN DANIEL Physical Therapy Assistant 860-677-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 000128) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |