institution
Blueberry Lane Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in N Kingstown, Rhode Island
NPI 1841335510

Blueberry Lane Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Blueberry Lane Group Home practices in N Kingstown, RI. The NPI Number for Blueberry Lane Group Home is 1841335510 and holds a License No. 191 (Rhode Island).

The current practice location address for Blueberry Lane Group Home is 45 Blueberry Ln, N Kingstown, RI and can be reached out via phone at 401-885-6488.

Location: 45 Blueberry Ln, N Kingstown, RI, 02920-3080
institution
Provider Profile Details
NPI Number
1841335510
Provider Name
Blueberry Lane Group Home
Credential
Provider Entity Type
Organization
Address
45 Blueberry Ln, N Kingstown, RI, 02920-3080
Phone Number
401-885-6488
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
LC02099 05 RI
institution
Provider Business Practice Location Address Details
Address
45 Blueberry Ln
City
State
Zip
02852-1949
Phone Number
401-885-6488
Fax Number
person
Provider Business Mailing Address Details
Address
45 Blueberry Ln
City
State
Zip
02852-1949
Phone Number
401-885-6488
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
License No.
191 (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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