Organization · NPI-2

Avatar Residential, INC.

Day Training, Developmentally Disabled Services · Warwick, RI

NPI number1053607754
StatusActive
Last updated in NPPESJun 22, 2011

Details

NPI
1053607754
Entity type
Organization (NPI-2)
Legal business name
Avatar Residential, INC.
Organization subpart
No
Enumeration date
Jun 22, 2011
Last updated
Jun 22, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services136RIYes

Practice location

33 College Hill Rd
Bldg.33
Warwick, RI 02886-2776

Phone 401-826-7500 · Fax 401-826-7503

Mailing address

33 College Hill Rd
Bldg.33
Warwick, RI 02886-2776

Phone 401-826-7500 · Fax 401-826-7503

Authorized official

Kathleen A Ellis
Executive Director
4018267500

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