MARRAKECH RESIDENTIAL SERVICE INC NPI 1770703316

NPI Information

NPI: 1770703316
Provider Name: MARRAKECH RESIDENTIAL SERVICE, INC

Other Name: MARRAKECH INC.

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
85 ENGLEWOOD DR
NEW HAVEN, CT
ZIP 06515
Phone: (203) 397-8187
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MARRAKECH RESIDENTIAL SERVICE, INC is an intermediate care facility mentally retarded in New Haven, CT. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MARRAKECH RESIDENTIAL SERVICE, INC NPI is 1770703316. The provider is registered as an organization entity type.
The provider Other Name Is Marrakech Inc..

The provider's business location address is:

85 ENGLEWOOD DR
NEW HAVEN, CT
ZIP 06515-309
Phone: (203) 397-8187
Fax: (203) 397-8187

The provider's authorized official is Jeffrey Lenz Andrus .
The authorized official title is Director Of Finance and has the following contact phone number (203) 389-2970.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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