Organization · Type 2 NPI
Whole Life Inc.
Intellectual Disabilities Intermediate Care Facility · Coventry, CT
NPI number
1376745240
Active
Practice location
139 High St
Coventry, CT 06238-3338
Mailing address
216 Broad St Fl 3
New London, CT 06320-5335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | R149 (CT) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1376745240
Whole Life Inc.'s National Provider Identifier is 1376745240, issued on Jun 4, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Coventry, CT. The record was last updated on Aug 9, 2018.