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Carolina Back Road Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Charlestown, Rhode Island
NPI 1205971983

Carolina Back Road Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Carolina Back Road Group Home practices in Charlestown, RI. The NPI Number for Carolina Back Road Group Home is 1205971983 and holds a License No. 263 (Rhode Island).

The current practice location address for Carolina Back Road Group Home is 87 Carolina Back Rd, Charlestown, RI and can be reached out via phone at 401-364-1081.

Location: 87 Carolina Back Rd, Charlestown, RI, 02920-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205971983
Provider Name
Carolina Back Road Group Home
Credential
Provider Entity Type
Organization
Address
87 Carolina Back Rd, Charlestown, RI, 02920-3080
Phone Number
401-364-1081
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
LC01932 05 RI
institution
Provider Business Practice Location Address Details
Address
87 Carolina Back Rd
City
Charlestown
State
Rhode Island
Zip
02813-3602
Phone Number
401-364-1081
Fax Number
person
Provider Business Mailing Address Details
Address
87 Carolina Back Rd
City
Charlestown
State
Rhode Island
Zip
02813-3602
Phone Number
401-364-1081
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.
263 (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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