Nichols Lane Group Home

NPI #1922143304 in Westerly, Rhode Island

Provider Information

NPI Number
1922143304
Entity Type
Organization
Organization Name
Nichols Lane Group Home
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 21, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
27 NICHOLS LN
ZIP Code
02891-1308
Phone
(401) 348-8087

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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