| Easter Seals Capitol Region And Eastern Connecticut | |
|
100 Deerfield Road Windsor CT 06095 | |
| (860) 270-0600 | |
| Not Available |
| Full Name | Easter Seals Capitol Region And Eastern Connecticut |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 100 Deerfield Road, Windsor, Connecticut |
| Authorized Official Name and Position | Alan Gouse (CEO) |
| Authorized Official Contact | 8602700600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Capitol Region And Eastern Connecticut 100 Deerfield Road Windsor CT 06095 Ph: (860) 270-0600 | Easter Seals Capitol Region And Eastern Connecticut 100 Deerfield Road Windsor CT 06095 Ph: (860) 270-0600 |
| NPI Number | 1255711107 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255711107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 3455 (Connecticut) | Primary |
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