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New Canaan Group Home Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Canaan, Connecticut
NPI 1871101733

New Canaan Group Home Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in New Canaan, CT. New Canaan Group Home Inc practices in New Canaan, CT. The NPI Number for New Canaan Group Home Inc is 1871101733 and holds a License No. (Connecticut).

The current practice location address for New Canaan Group Home Inc is 162 South Ave, New Canaan, CT and can be reached out via phone at 203-846-9581 and via fax at 203-847-0545.

Location: 162 South Ave, New Canaan, CT, 06840-5728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871101733
Provider Name
New Canaan Group Home Inc
Credential
Provider Entity Type
Organization
Address
162 South Ave, New Canaan, CT, 06840-5728
Phone Number
203-846-9581
Fax Number
203-847-0545
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002900 01 CT DDS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
162 South Ave
City
New Canaan
State
Connecticut
Zip
06840-5728
Phone Number
203-846-9581
Fax Number
203-847-0545
person
Provider Business Mailing Address Details
Address
162 South Ave
City
New Canaan
State
Connecticut
Zip
06840-5728
Phone Number
203-846-9581
Fax Number
203-847-0545
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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