Organization · Type 2 NPI
The Arc of Blackstone Valley
Intellectual Disabilities Intermediate Care Facility · Pawtucket, RI
NPI number
1336264969
Active
Practice location
195 Manton St
Pawtucket, RI 02861-4334
Fax (401) 727-1545
Mailing address
115 Manton St
Pawtucket, RI 02861-4332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 143 (RI) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1336264969
The Arc of Blackstone Valley's National Provider Identifier is 1336264969, issued on Mar 20, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pawtucket, RI. The record was last updated on Aug 22, 2020.