Pasture Lane Group Home

NPI 1033244199 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1033244199
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELLEN R ELLEN
Position DIRECTOR
Phone (401) 364-3103
Fax
Practice Location
24 PASTURE LN
CHARLESTOWN RI, 02813-3163, US
Phone (401) 364-3103
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 250
Remove 1033244199 NPI Number
 

According to our database, Pasture Lane Group Home NPI is 1033244199, taxonomy code is 320900000X and license number is 250, license state is located at Rhode Island. Pasture Lane Group Home physically located at 24 Pasture Ln, Charlestown RI, 02813-3163. NPI Number 1033115704 has the healthcare provider type.

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1033244199 NPI number is provided on an as is basis without warranty of any kind. 1033244199 is maintained by the National Plan & Provider Enumeration System. The contents of Pasture Lane Group Home are for informational purposes only.