Coolidge Avenue Group Home

NPI #1083749246 in Woonsocket, Rhode Island

Provider Information

NPI Number
1083749246
Entity Type
Organization
Organization Name
Coolidge Avenue 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
225 COOLIDGE AVE
ZIP Code
02895-2309
Phone
(401) 766-7955

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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