institution
Gardner Drive Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Westerly, Rhode Island
NPI 1982739165

Gardner Drive Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cranston, RI. Gardner Drive Group Home practices in Westerly, RI. The NPI Number for Gardner Drive Group Home is 1982739165 and holds a License No. 318 (Rhode Island).

The current practice location address for Gardner Drive Group Home is 21 Gardner Dr, Westerly, RI and can be reached out via phone at 401-596-5872.

Location: 21 Gardner Dr, Westerly, RI, 02920-3080
institution
Provider Profile Details
NPI Number
1982739165
Provider Name
Gardner Drive Group Home
Credential
Provider Entity Type
Organization
Address
21 Gardner Dr, Westerly, RI, 02920-3080
Phone Number
401-596-5872
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
LC02372 05 RI
institution
Provider Business Practice Location Address Details
Address
21 Gardner Dr
City
State
Zip
02891-2528
Phone Number
401-596-5872
Fax Number
person
Provider Business Mailing Address Details
Address
21 Gardner Dr
City
State
Zip
02891-2528
Phone Number
401-596-5872
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.
318 (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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