NPI 1003959685

State of CT. - Office of the Comptroller

Organisation Intellectual Disabilities Intermediate Care Facility Southbury, CT

Practice location

Address: 1461 South Britain Road, Southbury, CT 06488-1139
Phone: (203) 586-2000
Fax: (203) 586-2700
Mailing address: P.O. Box 872, Southbury, CT 06488-1139

Authorised official

Name: Crescentino Secchiaroli
Title: Fiscal Administrator
Phone: (860) 418-8712

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Connecticut →

Registry record

NPI: 1003959685
Entity type: Organization
NPI issued: 14 Feb 2007
Record last updated: 25 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.