Provider Demographics
NPI: | 1467961003 |
---|---|
Name: | KEY HUMAN SERVICES, INC. |
Entity Type: | Organization |
Organization Name: | KEY HUMAN SERVICES, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JOYCE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LEWIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 860-409-7350 |
Mailing Address - Street 1: | 1290 SILAS DEANE HWY STE 1A |
Mailing Address - Street 2: | |
Mailing Address - City: | WETHERSFIELD |
Mailing Address - State: | CT |
Mailing Address - Zip Code: | 06109-4337 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 860-409-7350 |
Mailing Address - Fax: | 860-757-3674 |
Practice Address - Street 1: | 1290 SILAS DEANE HWY STE 1A |
Practice Address - Street 2: | |
Practice Address - City: | WETHERSFIELD |
Practice Address - State: | CT |
Practice Address - Zip Code: | 06109-4337 |
Practice Address - Country: | US |
Practice Address - Phone: | 860-409-7350 |
Practice Address - Fax: | 860-409-7350 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-09-27 |
Last Update Date: | 2017-09-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CT | 251C00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |