Organization
STATE OF CT. - OFFICE OF THE COMPTROLLER
Active
Other names
North Region -Nutmeg Cottage-77 Mtn. Rd.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRESCENTINO SECCHIAROLI (FISCAL ADMINISTRATOR)
(860) 418-8712
Entity
Organization
Contact information
Practice address
71 MOUNTAIN RD, NEWINGTON, CT 06111-1508
(860) 331-2024
Mailing address
71 MOUNTAIN RD, NEWINGTON, CT 06111-1508
(860) 331-2024
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00622088
—
CT
Enumeration date
01/22/2007
Last updated
03/24/2016
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