State of Ct. - Office of the Comptroller

NPI #1053447417 in Southbury, Connecticut

Provider Information

NPI Number
1053447417
Entity Type
Organization
Organization Name
State of Ct. - Office of the Comptroller
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 27, 2007
Last Updated
May 22, 2020

Practice Location

Address
1461 BRITAIN RD S
ZIP Code
06488-1139
Phone
(203) 586-2000

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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