Avatar Residential Inc.

NPI #1376660043 in Cranston, Rhode Island

Provider Information

NPI Number
1376660043
Entity Type
Organization
Organization Name
Avatar Residential Inc.
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 26, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
15 LILLIAN LN
ZIP Code
02920-6200
Phone
(401) 942-0720

Authorized Official

Name
KATHLEEN A. ELLIS
Title
VICE PRESIDENT
Phone
(401) 826-7500

Specialties & Taxonomy Codes

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

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