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GREATER PROVIDENCE CHAPTER,RIARC

Intermediate Care Facility, Mentally Retarded

Riverside, Rhode Island

Provider NPI: 1447376264

Organization Information:
Organization Name:  GREATER PROVIDENCE CHAPTER,RIARC


Practice Location:
1 ROLAND ST  RIVERSIDE, RI 02915 US
Tel: 401-433-0687  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
RI132

Other Provider Identifiers:

IssuerNumberStateType
JF02843RI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS RI - Page 1



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