Organization · Type 2 NPI
Community Residences, Inc.
Intellectual Disabilities Intermediate Care Facility · Bristol, CT
NPI number
1295930725
Active
Practice location
52 Mohawk Rd
Bristol, CT 06010-9413
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-368 (CT) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1295930725
Community Residences, Inc.'s National Provider Identifier is 1295930725, issued on Jun 15, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Bristol, CT. The record was last updated on Aug 22, 2020.