institution
Scituate Avenue Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Johnston, Rhode Island
NPI 1922133081

Scituate Avenue Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Scituate Avenue Group Home practices in Johnston, RI. The NPI Number for Scituate Avenue Group Home is 1922133081 and holds a License No. 277 (Rhode Island).

The current practice location address for Scituate Avenue Group Home is 123 Scituate Ave, Johnston, RI and can be reached out via phone at 401-944-3530.

Location: 123 Scituate Ave, Johnston, RI, 02920-3080
institution
Provider Profile Details
NPI Number
1922133081
Provider Name
Scituate Avenue Group Home
Credential
Provider Entity Type
Organization
Address
123 Scituate Ave, Johnston, RI, 02920-3080
Phone Number
401-944-3530
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
LC02092 05 RI
institution
Provider Business Practice Location Address Details
Address
123 Scituate Ave
City
State
Zip
02919-4722
Phone Number
401-944-3530
Fax Number
person
Provider Business Mailing Address Details
Address
123 Scituate Ave
City
State
Zip
02919-4722
Phone Number
401-944-3530
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.
277 (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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