State of Rhode Island and Providence Plantations

NPI #1164567202 in North Smithfield, Rhode Island

Provider Information

NPI Number
1164567202
Entity Type
Organization
Organization Name
State of Rhode Island and Providence Plantations
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 20, 2007
Last Updated
Aug 22, 2019

Practice Location

Address
80 MOWRY AVENUE
ZIP Code
02896-7110
Phone
(401) 769-6681

Authorized Official

Name
MS. JENNIFER RAE WHITE
Title
DEPUTY CFO
Phone
(401) 462-1343

Specialties & Taxonomy Codes

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

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