Organization
B & W RESIDENTIAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH ELISE BURCHELL RN,BSN (CHIEF EXECUTIVE OFFICER (CEO))
(860) 233-4971
Entity
Organization
Contact information
Practice address
902 AMBER TRL, MONROE, GA 30655-8481
(860) 233-4971
Mailing address
58 SOUTH WHITNEY STREET, HARTFORD, CT 06106-8481
(860) 233-4971
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/30/2010
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