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Station Street Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Coventry, Rhode Island
NPI 1447385513

Station Street Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Station Street Group Home practices in Coventry, RI. The NPI Number for Station Street Group Home is 1447385513 and holds a License No. 179 (Rhode Island).

The current practice location address for Station Street Group Home is 204 Station St, Coventry, RI and can be reached out via phone at 401-822-2320.

Location: 204 Station St, Coventry, RI, 02920-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447385513
Provider Name
Station Street Group Home
Credential
Provider Entity Type
Organization
Address
204 Station St, Coventry, RI, 02920-3080
Phone Number
401-822-2320
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LC02094 05 RI
institution
Provider Business Practice Location Address Details
Address
204 Station St
City
Coventry
State
Rhode Island
Zip
02816-8455
Phone Number
401-822-2320
Fax Number
person
Provider Business Mailing Address Details
Address
204 Station St
City
Coventry
State
Rhode Island
Zip
02816-8455
Phone Number
401-822-2320
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.
179 (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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