Avatar Residential Inc.

NPI #1457478125 in Woonsocket, Rhode Island

Provider Information

NPI Number
1457478125
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
221 JILLSON AVE
ZIP Code
02895-5934
Phone
(401) 766-7950

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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