Community Residences, Inc. Rhode Island

NPI #1770045742 in Providence, Rhode Island

Provider Information

NPI Number
1770045742
Entity Type
Organization
Organization Name
Community Residences, Inc. Rhode Island
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 1, 2019
Last Updated
Apr 2, 2019

Practice Location

Address
COMMUNITY RESIDENCES, INC. RHODE ISLAND
Address 2
10 DORRANCE STREET, SUITE 706
ZIP Code
02903-2003
Phone
(401) 519-3727

Authorized Official

Name
MR. PAUL M. ROSIN
Title
PRESIDENT/CEO
Phone
(860) 621-7600

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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