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Moonstone Beach Rd Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wakefield, Rhode Island
NPI 1154466522

Moonstone Beach Rd Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Moonstone Beach Rd Group Home practices in Wakefield, RI. The NPI Number for Moonstone Beach Rd Group Home is 1154466522 and holds a License No. 26 (Rhode Island).

The current practice location address for Moonstone Beach Rd Group Home is 446 Moonstone Beach Rd, Wakefield, RI and can be reached out via phone at 401-782-8480.

Location: 446 Moonstone Beach Rd, Wakefield, RI, 02920-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154466522
Provider Name
Moonstone Beach Rd Group Home
Credential
Provider Entity Type
Organization
Address
446 Moonstone Beach Rd, Wakefield, RI, 02920-3080
Phone Number
401-782-8480
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
MB04412 05 RI
institution
Provider Business Practice Location Address Details
Address
446 Moonstone Beach Rd
City
Wakefield
State
Rhode Island
Zip
02879-5110
Phone Number
401-782-8480
Fax Number
person
Provider Business Mailing Address Details
Address
446 Moonstone Beach Rd
City
Wakefield
State
Rhode Island
Zip
02879-5110
Phone Number
401-782-8480
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.
26 (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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