NPI 1144366493

State of Connecticut

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: PO Box 872, Southbury, CT 06488-0901

Authorised official

Name: Eugene Harvey
Title: Director
Phone: (203) 586-2466

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: 1144366493
Entity type: Organization
NPI issued: 30 Jan 2007
Record last updated: 15 Jan 2020

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.