Organization · Type 2 NPI

Community Residences, Inc.

Intellectual Disabilities Intermediate Care Facility · Meriden, CT

NPI number 1508061029 Active

Practice location

350 Lydale Pl
Meriden, CT 06450-6131

Mailing address

732 West St, Suite 12
Southington, CT 06489-2329

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XR-636 (CT)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1508061029

Community Residences, Inc.'s National Provider Identifier is 1508061029, issued on Jun 15, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Meriden, CT. The record was last updated on Aug 22, 2020.