NPI 1093832339

Avatar Residential, INC.

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

Practice location

Address: 425 New River Rd, Manville, RI 02838-1805
Phone: (401) 333-2851
Mailing address: 33 College Hill Rd Building 33, Warwick, RI 02886-2776

Authorised official

Name: Kathleen a Ellis
Title: Vice President
Phone: (401) 826-7500

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 218 (RI)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Rhode Island →

Registry record

NPI: 1093832339
Entity type: Organization
NPI issued: 23 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.