State of Ct.-Office of the Comptroller

NPI #1902942188 in Southbury, Connecticut

Provider Information

NPI Number
1902942188
Entity Type
Organization
Organization Name
State of Ct.-Office of the Comptroller
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 29, 2007
Last Updated
May 3, 2016

Practice Location

Address
1461 SOUTH BRITAIN ROAD
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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