State of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pascoag, 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
1710 E Wallum Lake RdPascoag, RI 02859-1825
Phone: (401) 567-0990
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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 48 (RI) |
|---|
Record details
| NPI number | 1104961242 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer White — Deputy Cfo · (401) 462-1343 |
| Other names | East Wallum Lake Group Home |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | August 22, 2019 |
| Mailing address | 1710 E Wallum Lake Rd, Pascoag, RI 02859-1825 |