Organization
STATE OF CT. - OFFICE OF THE COMPTROLLER
Active
Other names
West Region - EGRC Bldg 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRESCENTINO SECCHIAROLI (FISCAL ADMINISTRATOR)
(860) 418-8712
Entity
Organization
Contact information
Practice address
300 ARMORY RD, STRATFORD, CT 06614-1752
(203) 579-6906
Mailing address
300 ARMORY RD, STRATFORD, CT 06614-1752
(203) 579-6906
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006742019
—
CT
Enumeration date
01/23/2007
Last updated
03/28/2016
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