Shannock Road Group Home
Shannock Road Group Home is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wakefield, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.
- Licensed in
- RI
- In the registry since
- 2007
Practice location Address checks out
794 Shannock RdWakefield, RI 02879-4756
Phone: (401) 462-7829
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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 15 (RI) |
|---|
Record details
| NPI number | 1912032079 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ellen Nelson — Director · (401) 462-6001 |
| NPI enumerated | February 22, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6 Harrington Rd, Cranston, RI 02920-3080 |
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