OrganizationActive
State of Ct. - Office of the Comptroller
NPI 1720128937 · Intellectual Disabilities Intermediate Care Facility · Southbury, CT
Provider details
- NPI number
- 1720128937
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Crescentino Secchiaroli, Fiscal Administrator
Practice location
1461 South Britain Rd.
Southbury, CT 06488-1139
Phone: (203) 586-2000
Fax: (203) 586-2700
Mailing address
Po Box 872
Southbury, CT 06488-0901
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2016-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.