Kenyon Hill Trail Group Home

NPI 1295870707 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1295870707
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) 539-8370
Fax
Practice Location
122 KENYON HILL TRL
WYOMING RI, 02898-1210, US
Phone (401) 539-8370
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 27
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According to our database, Kenyon Hill Trail Group Home NPI is 1295870707, taxonomy code is 320900000X and license number is 27, license state is located at Rhode Island. Kenyon Hill Trail Group Home physically located at 122 Kenyon Hill Trl, Wyoming RI, 02898-1210. NPI Number 1033115704 has the healthcare provider type.

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1295870707 NPI number is provided on an as is basis without warranty of any kind. 1295870707 is maintained by the National Plan & Provider Enumeration System. The contents of Kenyon Hill Trail Group Home are for informational purposes only.