West Bay Residential Services INC
NPI #1104942408 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1104942408
- Entity Type
- Organization
- Organization Name
- West Bay Residential Services INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 22 TARTAGLIA ST
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-5930
- Phone
- (401) 943-6544
Authorized Official
- Name
- JOHN DIMARCO
- Title
- EXECUTIVE DIRECTOR
- Phone
- (401) 738-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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