Organization
STATE OF CONNECTICUT
Active
Other names
SOUTHBURY TRAINING FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN M HANEWICZ (ASSISTANT REGIONAL DIRECTOR)
(203) 586-2518
Entity
Organization
Contact information
Practice address
ROUTE 172, DEPT OF MENTAL RETARDATION: SOUTHBURY TRAINING SCHOOL, SOUTHBURY, CT 06488-0901
(203) 586-2621
(203) 586-2701
Mailing address
PO BOX 872, SOUTHBURY, CT 06488-0901
(203) 586-2300
(203) 586-2722
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004205218
—
CT
Enumeration date
07/06/2006
Last updated
09/27/2018
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