Organization · Type 2 NPI
Community Residences, Inc.
Intellectual Disabilities Intermediate Care Facility · Canaan, CT
NPI number
1104021658
Active
Practice location
25 Honey Hill Rd
Canaan, CT 06018-2005
Mailing address
732 West St, Suite 12
Southington, CT 06489-2329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | R-1059 (CT) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1104021658
Community Residences, Inc.'s National Provider Identifier is 1104021658, issued on Jun 15, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Canaan, CT. The record was last updated on Aug 22, 2020.