Organization · Type 2 NPI
Greater Providence Chapter, Riarc
Intellectual Disabilities Intermediate Care Facility · Johnston, RI
NPI number
1407972284
Active
Practice location
22 Buratti Rd
Johnston, RI 02919-3217
Fax (401) 353-0290
Mailing address
220 Woonasquatucket Ave
North Providence, RI 02911-3196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 44 (RI) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1407972284
Greater Providence Chapter, Riarc's National Provider Identifier is 1407972284, issued on Mar 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Johnston, RI. The record was last updated on Aug 22, 2020.