Organization
ASPIRE LIVING & LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KHALIL (PRACTICE MANAGEMENT COORDINATOR)
(978) 732-3982
Entity
Organization
Contact information
Practice address
26 JANET DR, NORTH HAVEN, CT 06473-2926
(203) 281-6328
(203) 281-4584
Mailing address
1764 LITCHFIELD TPKE, WOODBRIDGE, CT 06525-2353
(203) 389-6956
(203) 389-7094
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62505
EDS IDENTIFIER
CT
Enumeration date
01/26/2007
Last updated
10/06/2020
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