Organization
ROCKY KNOLL GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY M CARVALHO (ADMINISTRATOR)
(401) 624-6359
Entity
Organization
Contact information
Practice address
3709 MAIN RD, TIVERTON, RI 02878-4854
(401) 624-6359
(401) 624-8383
Mailing address
3709 MAIN RD, TIVERTON, RI 02878-4854
(401) 624-6359
(401) 624-8383
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
7
RI
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
7
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RK61536
—
RI
Enumeration date
03/08/2007
Last updated
07/08/2011
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