Organization
TOWN OF ENFIELD
Active
Other names
Enfield Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW W. COPPLER (TOWN MANAGER)
(860) 253-6352
Entity
Organization
Contact information
Practice address
1A BEECH RD, ENFIELD, CT 06082-4462
(860) 763-7538
(860) 763-7584
Mailing address
1A BEECH RD, ENFIELD, CT 06082-4462
(860) 763-7538
(860) 763-7584
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004EADC082
CCCI PROVIDER #
CT
Enumeration date
04/20/2007
Last updated
08/22/2020
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