Byron Randall Rd Group Home

NPI #1033244298 in Johnston, Rhode Island

Provider Information

NPI Number
1033244298
Entity Type
Organization
Organization Name
Byron Randall Rd Group Home
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 21, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1 BYRON RANDALL RD
ZIP Code
02919-5609
Phone
(401) 647-9669

Authorized Official

Name
MS. ELLEN R NELSON
Title
DIRECTOR
Phone
(401) 462-6001

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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