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NPI Code Detail

MEDICARE: KEY HUMAN SERVICES, INC.

MEDICARE: KEY HUMAN SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2252Y00000XEarly Intervention Provider AgencyCT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265557961
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEY HUMAN SERVICES, INC.
Provider Business Mailing Address
First Line : 1290 SILAS DEANE HWY
Second Line : SUITE 1A
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number : 860-409-7350
Fax Number : 860-757-3674
Provider Business Practice Location Address
First Line : 1290 SILAS DEANE HWY
Second Line : SUITE 1A
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number : 860-409-7350
Fax Number : 860-757-3674
Authorized Official
Title or Position : CFO
Name : MR. MARK E. KOVITCH
Credential : CPA
Telephone Number : 860-409-7350
Provider Enumeration Date : 03/20/2007
Last Update Date : 09/26/2017

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