Avatar Residential, Inc.

NPI 1093832339 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1093832339
Enumeration Date 03/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHLEEN A KATHLEEN
Position VICE PRESIDENT
Phone (401) 333-2851
Fax
Practice Location
425 NEW RIVER RD
MANVILLE RI, 02838-1805, US
Phone (401) 333-2851
Fax
Business Location
33 COLLEGE HILL RD
BUILDING 33
WARWICK RI, 02886-2776, US
Phone (401) 826-7500
Fax (401) 826-7503
Toxanomy
Taxonomy Code 320900000X
License State Rhode Island
License Number 218
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According to our database, Avatar Residential, Inc. NPI is 1093832339, taxonomy code is 320900000X and license number is 218, license state is located at Rhode Island. Avatar Residential, Inc. physically located at 425 New River Rd, Manville RI, 02838-1805. NPI Number 1033115704 has the healthcare provider type.

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1093832339 NPI number is provided on an as is basis without warranty of any kind. 1093832339 is maintained by the National Plan & Provider Enumeration System. The contents of Avatar Residential, Inc. are for informational purposes only.