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State Of Connecticut
Intellectual Disabilities Intermediate Care Facility in Southbury, Connecticut
NPI 1467582072

State Of Connecticut is a Intellectual Disabilities Intermediate Care Facility based in Southbury, CT. State Of Connecticut practices in Southbury, CT. The NPI Number for State Of Connecticut is 1467582072 and holds a License No. (Connecticut).

The current practice location address for State Of Connecticut is 1461 South Britain Rd., Southbury, CT and can be reached out via phone at 203-586-2000 and via fax at 203-586-2700.

Location: 1461 South Britain Rd., Southbury, CT, 06488-0901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467582072
Provider Name
State Of Connecticut
Credential
Provider Entity Type
Organization
Address
1461 South Britain Rd., Southbury, CT, 06488-0901
Phone Number
203-586-2000
Fax Number
203-586-2700
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004042263 05 CT
institution
Provider Business Practice Location Address Details
Address
1461 South Britain Rd.
City
Southbury
State
Connecticut
Zip
06488-1139
Phone Number
203-586-2000
Fax Number
203-586-2700
person
Provider Business Mailing Address Details
Address
1461 South Britain Rd.
City
Southbury
State
Connecticut
Zip
06488-1139
Phone Number
203-586-2000
Fax Number
203-586-2700
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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