NPI 1487770780

West Bay Residential Services INC

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

Practice location

Address: 20 Lillian Rd, Johnston, RI 02919-4615
Phone: (401) 943-5485
Mailing address: 158 Knight St, Warwick, RI 02886-1225

Authorised official

Name: John Dimarco
Title: Executive Director
Phone: (401) 738-9300

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 215 (RI)

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

Registry record

NPI: 1487770780
Entity type: Organization
NPI issued: 21 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.