State of Ct. - Office of the Comptroller

NPI #1033263389 in Newington, Connecticut

Provider Information

NPI Number
1033263389
Entity Type
Organization
Organization Name
State of Ct. - Office of the Comptroller
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 23, 2007
Last Updated
Mar 28, 2016

Practice Location

Address
71 MOUNTAIN RD
ZIP Code
06111-1508
Phone
(860) 331-2024

Authorized Official

Name
MR. CRESCENTINO SECCHIAROLI
Title
FISCAL ADMINISTRATOR
Phone
(860) 418-8712

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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