West Bay Residential Services INC

NPI #1720170202 in Warwick, Rhode Island

Provider Information

NPI Number
1720170202
Entity Type
Organization
Organization Name
West Bay Residential Services INC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
158 KNIGHT STREET
ZIP Code
02886
Phone
(401) 738-9300

Authorized Official

Name
JOHN DIMARCO
Title
EXECUTIVE DIRECTOR
Phone
(401) 738-9300

Specialties & Taxonomy Codes

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

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