NPI 1023140415
Lakeview Ocean State, INC.
Practice location
- Address
- 4219 S County Trl, Charlestown, RI 02813-3628
- Phone
- (401) 364-8719
- Mailing address
- 244 High Watch Rd, Effingham, NH 03882-8336
Authorised official
- Name
- Chris Slover
- Title
- Administrator
- Phone
- (603) 539-7451
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023140415
- Entity type
- Organization
- NPI issued
- 12 Mar 2007
- Record last updated
- 9 Jul 2009
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.