GREATER PROVIDENCE CHAPTER,RIARC
Nursing at Douglas Ave, Providence, RI

License number
Rhode Island 235
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: MR. JOHN COSTA BS, CPP
Title: CONTROLLER
Phone: (401) 353-6990
Address
Address
1460 Douglas Ave, Providence, RI 02904
National Provider ID: 1285750075
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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