| NPI | 1992245138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT TOBY FRIERSON Owner 203-935-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CT 48476212-000) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |