State of Connecticut
NPI 1467582072 · Intellectual Disabilities Intermediate Care Facility · Southbury, CT
State of Connecticut is a Intellectual Disabilities Intermediate Care Facility organization in Southbury, CT (NPI 1467582072).
Provider details
- NPI number
- 1467582072
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kathryn Hanewicz, Director(203) 586-2518
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.