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Coolidge Avenue Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woonsocket, Rhode Island
NPI 1083749246

Coolidge Avenue Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Coolidge Avenue Group Home practices in Woonsocket, RI. The NPI Number for Coolidge Avenue Group Home is 1083749246 and holds a License No. 152 (Rhode Island).

The current practice location address for Coolidge Avenue Group Home is 225 Coolidge Ave, Woonsocket, RI and can be reached out via phone at 401-766-7955.

Location: 225 Coolidge Ave, Woonsocket, RI, 02920-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083749246
Provider Name
Coolidge Avenue Group Home
Credential
Provider Entity Type
Organization
Address
225 Coolidge Ave, Woonsocket, RI, 02920-3080
Phone Number
401-766-7955
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
LC01912 05 RI
institution
Provider Business Practice Location Address Details
Address
225 Coolidge Ave
City
Woonsocket
State
Rhode Island
Zip
02895-2309
Phone Number
401-766-7955
Fax Number
person
Provider Business Mailing Address Details
Address
225 Coolidge Ave
City
Woonsocket
State
Rhode Island
Zip
02895-2309
Phone Number
401-766-7955
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.
152 (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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