Broadrock Road Group Home

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1821133505

Broadrock Road Group Home is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Peace Dale, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in: RI
In the registry since: 2007

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Practice location Address checks out

1230 Broad Rock Rd
Peace Dale, RI 02879-1851
Phone: (401) 789-6880

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X · Licence 122 (RI)

Record details

NPI number	1821133505
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Ellen Nelson — Director · (401) 462-6001
NPI enumerated	February 21, 2007
Last updated in NPPES	August 22, 2020
Mailing address	6 Harrington Rd, Cranston, RI 02920-3080