Byron Roy Easterly Valid NPI

Individual provider · Skilled Nursing Facility · Middletown, CT

NPI

1568614337

Type

Individual (Type 1)

Primary specialty

Skilled Nursing Facility

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

314000000X

License number

000163 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-10-10

Last updated

2008-10-10