NPI 1639819766

Rhode Island Community Living and Supports (riclas)

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

Practice location

Address: 18 Reddington Street, Coventry, RI 02816-4246
Phone: (401) 462-5332
Fax: (401) 462-2804
Mailing address: 6 Harrington Road, Cranston, RI 02920

Authorised official

Name: Richard R Charest
Title: Director
Phone: (401) 462-0917

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1639819766
Entity type: Organization
NPI issued: 29 Mar 2022
Record last updated: 10 Jun 2022

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.