State Of Ct. - Office Of The Comptroller
Intermediate Care Facility, Intellectual Disabilities in Southbury, CT. Organization (NPI-2).
NPI number1932242567
StatusActive
Last updated in NPPESMar 25, 2016
Details
- NPI
- 1932242567
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Ct. - Office Of The Comptroller
- Organization subpart
- No
- Enumeration date
- Feb 14, 2007
- Last updated
- Mar 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Other names
- Sts Cottage 17 (Doing Business As)
Practice location
1461 South Britain Rd.Southbury, CT 06488-1139
Phone 203-586-2000 · Fax 203-586-2700
Mailing address
Po Box 872Southbury, CT 06488-0901
Phone 203-586-2000 · Fax 203-586-2700
Authorized official
Crescentino Secchiaroli
Fiscal Administrator
8604188712
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All 42 Intellectual Disabilities Intermediate Care Facility providers in Southbury · All 727 providers in Southbury
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