Organization · Type 2 NPI
Coolidge Avenue Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Woonsocket, RI
Practice location
225 Coolidge Ave
Woonsocket, RI 02895-2309
Mailing address
6 Harrington Rd
Cranston, RI 02920-3080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 152 (RI) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Woonsocket
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- Ocean State Community Resources, Inc.Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Woonsocket, RI NPI 1679691786
- Avatar Residential Inc.Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Woonsocket, RI NPI 1982721056
About NPI 1083749246
Coolidge Avenue Group Home's National Provider Identifier is 1083749246, issued on Feb 21, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Woonsocket, RI. The record was last updated on Aug 22, 2020.