GREATER PROVIDENCE CHAPTERRIARC NPI 1245356955

NPI Information

GREATER PROVIDENCE CHAPTER,RIARC is an intermediate care facility mentally retarded in Providence, RI. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. GREATER PROVIDENCE CHAPTER,RIARC NPI is 1245356955. The provider is registered as an organization entity type.
The provider Is Doing Business As John E. Fogarty Center.

The provider's business location address is:

109 SHERWOOD ST
PROVIDENCE, RI
ZIP 02908-617
Phone: (401) 273-7090
Fax: (401) 353-0290

The provider's authorized official is John Costa .
The authorized official title is Controller and has the following contact phone number (401) 353-6990.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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