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Organization
WHOLE LIFE INC.
Active
Organization
WHOLE LIFE INC.
Active
Other names
Tri-County ARC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANN SZUBA (CONTROLLER)
(860) 886-6900
Entity
Organization
Contact information
Practice address
139 HIGH ST, COVENTRY, CT 06238-3338
(860) 742-0404
Mailing address
216 BROAD ST FL 3, NEW LONDON, CT 06320-5335
(860) 886-6900
(860) 574-9223
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
R149
CT
Other
Enumeration date
06/04/2007
Last updated
08/09/2018
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