NPI 1013033315
West Bay Residential Services INC
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
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.