Organization · Type 2 NPI

State of Ct. - Office of the Comptroller

Intellectual Disabilities Intermediate Care Facility · Southbury, CT

NPI number 1750417127 Active

Practice location

1461 South Britain Rd
Southbury, CT 06488-1139

Fax (203) 586-2700

Mailing address

PO Box 872
Southbury, CT 06488-0901

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

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About NPI 1750417127

State of Ct. - Office of the Comptroller's National Provider Identifier is 1750417127, issued on Feb 27, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Southbury, CT. The record was last updated on Mar 25, 2016.