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Avatar Residential Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lincoln, Rhode Island
NPI 1649397795

Avatar Residential Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Warwick, RI. Avatar Residential Inc. practices in Lincoln, RI. The NPI Number for Avatar Residential Inc. is 1649397795 and holds a License No. 317 (Rhode Island).

The current practice location address for Avatar Residential Inc. is 14 Dexter Rock Rd, Lincoln, RI and can be reached out via phone at 401-333-4383.

Location: 14 Dexter Rock Rd, Lincoln, RI, 02886-2776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649397795
Provider Name
Avatar Residential Inc.
Credential
Provider Entity Type
Organization
Address
14 Dexter Rock Rd, Lincoln, RI, 02886-2776
Phone Number
401-333-4383
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AR01379 01 RI PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
14 Dexter Rock Rd
City
Lincoln
State
Rhode Island
Zip
02865-1420
Phone Number
401-333-4383
Fax Number
person
Provider Business Mailing Address Details
Address
14 Dexter Rock Rd
City
Lincoln
State
Rhode Island
Zip
02865-1420
Phone Number
401-333-4383
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.
317 (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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