NPI 1447376264

Greater Providence Chapter,riarc

Organisation Intellectual Disabilities Intermediate Care Facility Riverside, RI

Practice location

Address: 1 Roland St, Riverside, RI 02915-3315
Phone: (401) 433-0687
Fax: (401) 353-0290
Mailing address: 220 Woonasquatucket Ave, North Providence, RI 02911-3196

Authorised official

Name: John Costa
Title: Controller
Phone: (401) 353-6990

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 132 (RI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Rhode Island →

Registry record

NPI: 1447376264
Entity type: Organization
NPI issued: 22 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.