Community Residences, Inc.

NPI #1548465065 in Wolcott, Connecticut

Provider Information

NPI Number
1548465065
Entity Type
Organization
Organization Name
Community Residences, Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jun 15, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
3 ERICA LN
ZIP Code
06716-1427
Phone
(203) 879-5701

Authorized Official

Name
MR. PAUL ROSIN
Title
EXECUTIVE DIRECTOR
Phone
(860) 621-7600

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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