South Road Group Home

NPI #1689709750 in Wakefield, Rhode Island

Provider Information

NPI Number
1689709750
Entity Type
Organization
Organization Name
South Road Group Home
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1425 SOUTH RD
ZIP Code
02879-7640
Phone
(401) 782-9463

Authorized Official

Name
MS. ELLEN R NELSON
Title
DIRECTOR
Phone
(401) 462-6001

Specialties & Taxonomy Codes

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

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