41D2259644 CLIA NUMBER - JUSTICE RESOURCE INSTITUTE- STEP

Laboratory Demographics

CLIA Number: 41D2259644

Facility Name: JUSTICE RESOURCE INSTITUTE- STEP

Facility Address:
818 DYER AVE
CRANSTON, RI
ZIP 02920
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Facility Phone Number: 401 944-5694

Facility Type: Other - COMMUNITY RESID/GROUP HOM

Certificate Type: Waiver

NPI Number: 1881735389

Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	41D2259644
LAB Type	Other - COMMUNITY RESID/GROUP HOM
Facility Name	JUSTICE RESOURCE INSTITUTE- STEP
Street	818 DYER AVE
City	CRANSTON
State	RI
ZIP	02920
Phone	401 944-5694
CertificateType	4
CertificateEffectiveDate	5/10/2024
CertificateExpirationDate	5/9/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024