Provider Demographics
NPI:1306052469
Name:UNITED COMMUNITY & FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:UNITED COMMUNITY & FAMILY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-889-2375
Mailing Address - Street 1:165 MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-3509
Mailing Address - Country:US
Mailing Address - Phone:860-889-5005
Mailing Address - Fax:860-892-2340
Practice Address - Street 1:165 MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-3509
Practice Address - Country:US
Practice Address - Phone:860-889-5005
Practice Address - Fax:860-892-2340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT003UWNS337OtherCCCI VENDOR NUMBER