1144366493 STATE OF CONNECTICUT
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- STATE OF CONNECTICUT
- Enumeration Date
- January 30, 2007
- Last Update
- January 15, 2020
- Authorized Official
- EUGENE HARVEY
DIRECTOR
Phone: (203) 586-2466
Practice Location
- Address
- 1461 SOUTH BRITAIN ROAD
SOUTHBURY, CT 064881139 - Phone
- (203) 586-2000
- Fax
- (203) 586-2700
Mailing Address
- Address
- PO BOX 872
SOUTHBURY, CT 064880901 - Phone
- (203) 586-2602
- Fax
- (203) 586-2700
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C00793 | 01 | CT | MEDICARE ID - TYPE UNSPECIFIED |
| 006782264 | 05 | CT | N/A |
Frequently Asked Questions
What is STATE OF CONNECTICUT's NPI number?
STATE OF CONNECTICUT's NPI number is 1144366493.
Which doctor has NPI number 1144366493?
The doctor with NPI number 1144366493 is STATE OF CONNECTICUT.
What is STATE OF CONNECTICUT's practice address?
STATE OF CONNECTICUT's practice address is 1461 SOUTH BRITAIN ROAD, SOUTHBURY, CT, 064881139.
Which doctor practices at 1461 SOUTH BRITAIN ROAD, SOUTHBURY, CT, 064881139?
STATE OF CONNECTICUT practices at 1461 SOUTH BRITAIN ROAD, SOUTHBURY, CT, 064881139.
What is STATE OF CONNECTICUT's mailing address?
STATE OF CONNECTICUT's mailing address is PO BOX 872, SOUTHBURY, CT, 064880901.
What is STATE OF CONNECTICUT's phone number?
STATE OF CONNECTICUT's phone number is (203) 586-2000.
Who is (203) 586-2000?
(203) 586-2000 is the phone number for STATE OF CONNECTICUT.
What is STATE OF CONNECTICUT's specialty?
STATE OF CONNECTICUT's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is STATE OF CONNECTICUT?
STATE OF CONNECTICUT is a Intellectual Disabilities Intermediate Care Facility.
Is STATE OF CONNECTICUT a Intermediate Care Facility, Intellectual Disabilities?
Yes, STATE OF CONNECTICUT is a Intermediate Care Facility, Intellectual Disabilities.
Is STATE OF CONNECTICUT still practicing?
Yes, STATE OF CONNECTICUT is currently practicing.
Is STATE OF CONNECTICUT accepting new patients?
STATE OF CONNECTICUT may be accepting new patients. Please call their office at (203) 586-2000 to inquire about availability.
Is NPI 1144366493 still active?
Yes, NPI 1144366493 is currently active.
Where does STATE OF CONNECTICUT practice?
STATE OF CONNECTICUT practices in SOUTHBURY, CT.