Lakeview Ocean State, Inc.
NPI #1023140415 in Charlestown, Rhode Island
Provider Information
- NPI Number
- 1023140415
- Entity Type
- Organization
- Organization Name
- Lakeview Ocean State, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jul 9, 2009
Practice Location
- Address
- 4219 S COUNTY TRL
- City
- Charlestown
- State
- Rhode Island
- ZIP Code
- 02813-3628
- Phone
- (401) 364-8719
Authorized Official
- Name
- CHRIS SLOVER
- Title
- ADMINISTRATOR
- Phone
- (603) 539-7451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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