Greater Providence Chapter,riarc
NPI #1124144928 in Providence, Rhode Island
Provider Information
- NPI Number
- 1124144928
- Entity Type
- Organization
- Organization Name
- Greater Providence Chapter,riarc
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 40 LEANDER ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02909-5636
- Phone
- (401) 272-3162
Authorized Official
- Name
- MR. JOHN COSTA, BS, CPP
- Title
- CONTROLLER
- Phone
- (401) 353-6990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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