Organization
CENTER FOR TRANSITIONAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL CONNORS (ATTORNEY/BUSINESS MANAGER)
(860) 840-7285
Entity
Organization
Contact information
Practice address
57 PRATT ST FL 6, HARTFORD, CT 06103-1604
(860) 840-7285
(860) 920-7369
Mailing address
6 EXECUTIVE DR STE 120, FARMINGTON, CT 06032-2853
(860) 840-7285
(860) 920-7369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008059342
—
CT
05
—
008065395
—
CT
Enumeration date
01/22/2015
Last updated
04/17/2018
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