Organization
WEST BAY RESIDENTIAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DIMARCO (EXECUTIVE DIRECTOR)
(401) 738-9300
Entity
Organization
Contact information
Practice address
35 LANCELOTTA ST, WEST WARWICK, RI 02893-1716
(401) 828-6199
Mailing address
158 KNIGHT ST, WARWICK, RI 02886-1225
(401) 738-9300
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
215
RI
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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