Avatar Residential Inc.
NPI #1649397795 in Lincoln, Rhode Island
Provider Information
- NPI Number
- 1649397795
- Entity Type
- Organization
- Organization Name
- Avatar Residential Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 14 DEXTER ROCK RD
- City
- Lincoln
- State
- Rhode Island
- ZIP Code
- 02865-1420
- Phone
- (401) 333-4383
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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