Organization
MANCHESTER MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES MAUREEN GOULET (OWNER/ADMINSTRATOR)
(401) 725-8390
Entity
Organization
Contact information
Practice address
12 MANCHESTER ST, PAWTUCKET, RI 02860-2016
(401) 725-8390
(401) 725-1359
Mailing address
12 MANCHESTER ST, PAWTUCKET, RI 02860-2016
(401) 725-8390
(401) 725-1359
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALR01315
RI
3104A0625X
Assisted Living Facility (Mental Illness)
ALR01315
RI
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
ALR01315
RI
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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