Organization · Type 2 NPI
Mehdi LLC
Physical Disabilities Residential Treatment Facility · Bristol, CT
NPI number
1003119140
Active
Practice location
37 Center St, 511 Pine Street
Bristol, CT 06010-4917
Fax (860) 582-2226
Mailing address
210 Main St # 1423
Farmington, CT 06032-9992
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | NA9992331 (CT) |
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | HCA.0000440 (CT) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1003119140
Mehdi LLC's National Provider Identifier is 1003119140, issued on Dec 13, 2010. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Bristol, CT. The record was last updated on Dec 13, 2010.