Coolidge Avenue Group Home

NPI 1083749246 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1083749246
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELLEN R ELLEN
Position DIRECTOR
Phone (401) 766-7955
Fax
Practice Location
225 COOLIDGE AVE
WOONSOCKET RI, 02895-2309, US
Phone (401) 766-7955
Fax
Business Location
6 HARRINGTON RD
CRANSTON RI, 02920-3080, US
Phone (401) 462-2659
Fax (401) 462-6631
Toxanomy
Taxonomy Code 320900000X
License State Rhode Island
License Number 152
Remove 1083749246 NPI Number
 

According to our database, Coolidge Avenue Group Home NPI is 1083749246, taxonomy code is 320900000X and license number is 152, license state is located at Rhode Island. Coolidge Avenue Group Home physically located at 225 Coolidge Ave, Woonsocket RI, 02895-2309. NPI Number 1033115704 has the healthcare provider type.

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1083749246 NPI number is provided on an as is basis without warranty of any kind. 1083749246 is maintained by the National Plan & Provider Enumeration System. The contents of Coolidge Avenue Group Home are for informational purposes only.