Hallville Road Group Home

NPI 1477698967 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1477698967
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) 295-1352
Fax
Practice Location
265 HALLVILLE RD
EXETER RI, 02822-3211, US
Phone (401) 295-1352
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 192
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According to our database, Hallville Road Group Home NPI is 1477698967, taxonomy code is 320900000X and license number is 192, license state is located at Rhode Island. Hallville Road Group Home physically located at 265 Hallville Rd, Exeter RI, 02822-3211. NPI Number 1033115704 has the healthcare provider type.

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1477698967 NPI number is provided on an as is basis without warranty of any kind. 1477698967 is maintained by the National Plan & Provider Enumeration System. The contents of Hallville Road Group Home are for informational purposes only.