Organization · Type 2 NPI

Moonstone Beach RD Group Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wakefield, RI

NPI number 1154466522 Active

Practice location

446 Moonstone Beach Rd
Wakefield, RI 02879-5110

Call (401) 782-8480 Map

Mailing address

6 Harrington Rd
Cranston, RI 02920-3080

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X26 (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.

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About NPI 1154466522

Moonstone Beach RD Group Home's National Provider Identifier is 1154466522, 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 Wakefield, RI. The record was last updated on Aug 22, 2020.