institution
Shannock Road Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wakefield, Rhode Island
NPI 1912032079

Shannock Road Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Shannock Road Group Home practices in Wakefield, RI. The NPI Number for Shannock Road Group Home is 1912032079 and holds a License No. 15 (Rhode Island).

The current practice location address for Shannock Road Group Home is 794 Shannock Rd, Wakefield, RI and can be reached out via phone at 401-462-7829.

Location: 794 Shannock Rd, Wakefield, RI, 02920-3080
institution
Provider Profile Details
NPI Number
1912032079
Provider Name
Shannock Road Group Home
Credential
Provider Entity Type
Organization
Address
794 Shannock Rd, Wakefield, RI, 02920-3080
Phone Number
401-462-7829
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
LC01922 05 RI
institution
Provider Business Practice Location Address Details
Address
794 Shannock Rd
City
State
Zip
02879-4756
Phone Number
401-462-7829
Fax Number
person
Provider Business Mailing Address Details
Address
794 Shannock Rd
City
State
Zip
02879-4756
Phone Number
401-462-7829
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.
15 (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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