Greater Providence Chapter, Riarc

NPI #1407972284 in Johnston, Rhode Island

Provider Information

NPI Number
1407972284
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
22 BURATTI RD
ZIP Code
02919-3217
Phone
(401) 521-2212

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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