Organization
STATE OF CT.-OFFICE OF THE COMPTROLLER
Active
Other names
West Region-LFC Bldg 3
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M DEGROSSE (ASSISTANT REGIONAL DIRECTOR)
(860) 519-3357
Entity
Organization
Contact information
Practice address
146 SILVERMINE AVE, NORWALK, CT 06850-2032
(203) 846-9531
Mailing address
146 SILVERMINE AVE, NORWALK, CT 06850-2032
(203) 846-9531
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006742068
—
CT
Enumeration date
01/23/2007
Last updated
08/11/2025
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