Greater Providence Chapter,riarc
Intermediate Care Facility, Intellectual Disabilities in Providence, RI. Organization (NPI-2).
NPI number1124144928
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124144928
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Providence Chapter,riarc
- Organization subpart
- No
- Enumeration date
- Mar 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 91 | RI | Yes |
Other names
- John E. Fogarty Center (Doing Business As)
Practice location
40 Leander StProvidence, RI 02909-5636
Phone 401-272-3162 · Fax 401-353-0290
Mailing address
220 Woonasquatucket AveNorth Providence, RI 02911-3196
Phone 401-353-6990 · Fax 401-353-0290
Authorized official
John Costa
Controller
4013536990
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Other Intellectual Disabilities Intermediate Care Facility providers in Providence, RI
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All 5 Intellectual Disabilities Intermediate Care Facility providers in Providence · All 11,044 providers in Providence
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