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Organization
STATE OF CT. - OFFICE OF THE COMPTROLLER
Active
Organization
STATE OF CT. - OFFICE OF THE COMPTROLLER
Active
Other names
STS Cottage 42 Yankee Dr.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS JERARD (CHIEF FINANCIAL OFFICER)
(860) 418-8712
Entity
Organization
Contact information
Practice address
1461 SOUTH BRITAIN RD., SOUTHBURY, CT 06488-1139
(203) 586-2000
(203) 586-2700
Mailing address
1461 S BRITAIN RD, SOUTHBURY, CT 06488-1177
(203) 586-2000
(203) 586-2700
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006782199
—
CT
01
—
C00793
MEDICARE ID - TYPE UNSPECIFIED
CT
Enumeration date
02/27/2007
Last updated
12/09/2025
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