Organization · Type 2 NPI

Carolina Back Road Group Home

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

NPI number 1205971983 Active

Practice location

87 Carolina Back Rd
Charlestown, RI 02813-3602

Call (401) 364-1081 Map

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	263 (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 1205971983

Carolina Back Road Group Home's National Provider Identifier is 1205971983, 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 Charlestown, RI. The record was last updated on Aug 22, 2020.