Organization
COLLEGE PARK APARTMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN R NELSON (DIRECTOR)
(401) 462-6001
Entity
Organization
Contact information
Practice address
612 MOUNT PLEASANT AVE, PROVIDENCE, RI 02908-1925
(401) 331-9872
Mailing address
6 HARRINGTON RD, CRANSTON, RI 02920-3080
(401) 462-2659
(401) 462-6631
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
314
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LC01619
—
RI
Enumeration date
02/21/2007
Last updated
08/22/2020
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