SHANNOCK ROAD GROUP HOME
NPI 1912032079
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wakefield, RI
About Shannock Road Group Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNOCK ROAD GROUP HOME (NPI 1912032079) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wakefield, Rhode Island and active in the NPI registry since February 2007. The organization lists Ellen R Nelson, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Other Identifiers 1
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912032079, enumerated as an "organization" on February 22, 2007.
The provider is located at 794 SHANNOCK RD WAKEFIELD, RI 02879 and the phone number is (401) 462-7829.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
