Organization
COMMUNITY RESIDENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ROSIN (EXECUTIVE)
(860) 621-7600
Entity
Organization
Contact information
Practice address
120 BOYD ST, WINSTED, CT 06098-1404
(860) 738-9170
Mailing address
732 WEST ST, SUITE 12, SOUTHINGTON, CT 06489-2329
(860) 621-7600
(860) 621-2228
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
R-1060
CT
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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