Organization
OCEAN STATE COMMUNITY RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C REISS (EXECUTIVE DIRECTOR)
(401) 245-7900
Entity
Organization
Contact information
Practice address
128 SPRING WATER DR, WOONSOCKET, RI 02895-4967
(401) 762-5022
Mailing address
310 MAPLE AVE, SUITE 102, BARRINGTON, RI 02806-3430
(401) 245-7900
(401) 245-7910
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
20
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW02242
PROVIDER NUMBER
RI
Enumeration date
03/27/2007
Last updated
08/22/2020
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