Organization
STATE OF CT.-OFFICE OF THE COMPTROLLER
Active
Other names
South Region-Cottages 9 &12 & Transition
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRESCENTINO SECCHIAROLI (FISCAL ADMINISTRATOR)
(860) 418-8712
Entity
Organization
Contact information
Practice address
35 UNDERCLIFF RD, MERIDEN, CT 06451-1825
(203) 574-3270
Mailing address
35 UNDERCLIFF RD, MERIDEN, CT 06451-1825
(203) 574-3270
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006752118
—
CT
Enumeration date
01/22/2007
Last updated
03/25/2016
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