NPI 1205971983

Carolina Back Road Group Home

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

Practice location

Address: 87 Carolina Back Rd, Charlestown, RI 02813-3602
Phone: (401) 364-1081
Mailing address: 6 Harrington Rd, Cranston, RI 02920-3080

Authorised official

Name: Ellen R Nelson
Title: Director
Phone: (401) 462-6001

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 263 (RI)

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

Registry record

NPI: 1205971983
Entity type: Organization
NPI issued: 21 Feb 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.