Lakeview Ocean State, Inc.

NPI 1023140415 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1023140415
Enumeration Date 03/12/2007
Last Updated 07/09/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHRIS CHRIS
Position ADMINISTRATOR
Phone (401) 364-8719
Fax
Practice Location
4219 S COUNTY TRL
CHARLESTOWN RI, 02813-3628, US
Phone (401) 364-8719
Fax
Business Location
244 HIGH WATCH RD
EFFINGHAM NH, 03882-8336, US
Phone (603) 539-7451
Fax
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Lakeview Ocean State, Inc. NPI is 1023140415, taxonomy code is 320900000X Lakeview Ocean State, Inc. physically located at 4219 S County Trl, Charlestown RI, 02813-3628. NPI Number 1033115704 has the healthcare provider type.

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1023140415 NPI number is provided on an as is basis without warranty of any kind. 1023140415 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeview Ocean State, Inc. are for informational purposes only.