Whalio Doctors

NPI 1013033315

West Bay Residential Services INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Coventry, RI

Practice location

Address
18 Reddington St, Coventry, RI 02816-4246
Phone
(401) 823-8214
Mailing address
158 Knight St, Warwick, RI 02886-1225

Authorised official

Name
John Dimarco
Title
Executive Director
Phone
(401) 738-9300

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 215 (RI)

Registry record

NPI
1013033315
Entity type
Organization
NPI issued
21 Mar 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.