Organization · Type 2 NPI

Greater Providence Chapter,riarc

Intellectual Disabilities Intermediate Care Facility · Providence, RI

NPI number 1124144928 Active

Practice location

40 Leander St
Providence, RI 02909-5636

Call (401) 272-3162 Map

Fax (401) 353-0290

Mailing address

220 Woonasquatucket Ave
North Providence, RI 02911-3196

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X91 (RI)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1124144928

Greater Providence Chapter,riarc's National Provider Identifier is 1124144928, issued on Mar 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Providence, RI. The record was last updated on Aug 22, 2020.