NPI 1457478125

Avatar Residential INC.

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

Practice location

Address: 221 Jillson Ave, Woonsocket, RI 02895-5934
Phone: (401) 766-7950
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 151 (RI)

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

Registry record

NPI: 1457478125
Entity type: Organization
NPI issued: 26 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.