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
158 KNIGHT ST, WARWICK, RI 02886-1225
(401) 738-9300
(401) 738-2787
Mailing address
158 KNIGHT ST, WARWICK, RI 02886-1225
(401) 738-9300
(401) 738-2787
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
215
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WB55241
—
RI
Enumeration date
06/22/2011
Last updated
06/22/2011
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