Organization
REM CONNECTICUT COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
440 MIDDLEFIELD STREET, MIDDLETOWN, CT 06457
(860) 704-0360
(860) 704-8056
Mailing address
440 MIDDLEFIELD STREET, MIDDLETOWN, CT 06457
(860) 704-0360
(860) 704-8056
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
CT
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
311ZA0620X
Adult Care Home Facility
R-1013
CT
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CT
Enumeration date
03/14/2007
Last updated
04/18/2023
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