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NPI Code Detail

MEDICARE: UNITED COMMUNITY & FAMILY SERVICES, INC.

MEDICARE: UNITED COMMUNITY & FAMILY 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
1311ZA0620XAdult Care Home Facility1268-RCHCT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11620OTHERCTDSS VENDOR NUMBER

General Provider Information

NPI Number : 1366658742
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED COMMUNITY & FAMILY SERVICES, INC.
Provider Business Mailing Address
First Line : 165 MCKINLEY AVE
Second Line :
City : NORWICH
State : CT
Zip : 06360-3509
Country : US
Telephone Number : 860-887-5055
Fax Number : 860-892-2340
Provider Business Practice Location Address
First Line : 165 MCKINLEY AVE
Second Line :
City : NORWICH
State : CT
Zip : 06360-3509
Country : US
Telephone Number : 860-887-5055
Fax Number : 860-892-2340
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MRS. JULIE SHAW
Credential :
Telephone Number : 860-889-2375
Provider Enumeration Date : 05/15/2007
Last Update Date : 08/22/2020

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Directions to “UNITED COMMUNITY & FAMILY SERVICES, INC. ” Practice Location

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