Organization
COMMUNITY RESIDENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ROSIN (EXECUTIVE DIRECTOR)
(860) 621-7600
Entity
Organization
Contact information
Practice address
90 FARMINGTON AVE, PLAINVILLE, CT 06062-1729
(860) 621-7600
(860) 621-2228
Mailing address
732 WEST ST, SUITE 12, SOUTHINGTON, CT 06489-2329
(860) 621-7600
(860) 621-2228
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
R-599
CT
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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