Organization · Type 2 NPI

Greater Providence Chapter,riarc

Intellectual Disabilities Intermediate Care Facility · North Providence, RI

NPI number 1285750075 Active

Practice location

1460 Douglas Ave
North Providence, RI 02904-4032

Fax (401) 353-0290

Mailing address

220 Woonasquatucket Ave
North Providence, RI 02911-3196

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X235 (RI)

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

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About NPI 1285750075

Greater Providence Chapter,riarc's National Provider Identifier is 1285750075, issued on Mar 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in North Providence, RI. The record was last updated on Aug 22, 2020.