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Byron Randall Rd Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Johnston, Rhode Island
NPI 1033244298

Byron Randall Rd Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Byron Randall Rd Group Home practices in Johnston, RI. The NPI Number for Byron Randall Rd Group Home is 1033244298 and holds a License No. 217 (Rhode Island).

The current practice location address for Byron Randall Rd Group Home is 1 Byron Randall Rd, Johnston, RI and can be reached out via phone at 401-647-9669.

Location: 1 Byron Randall Rd, Johnston, RI, 02920-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033244298
Provider Name
Byron Randall Rd Group Home
Credential
Provider Entity Type
Organization
Address
1 Byron Randall Rd, Johnston, RI, 02920-3080
Phone Number
401-647-9669
Fax Number
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LC02101 05 RI
institution
Provider Business Practice Location Address Details
Address
1 Byron Randall Rd
City
Johnston
State
Rhode Island
Zip
02919-5609
Phone Number
401-647-9669
Fax Number
person
Provider Business Mailing Address Details
Address
1 Byron Randall Rd
City
Johnston
State
Rhode Island
Zip
02919-5609
Phone Number
401-647-9669
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
217 (Rhode Island)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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