Avatar Residential Inc. | |
33 College Hill Rd Building 33 Warwick RI 02886-2776 | |
(401) 826-7500 | |
(401) 826-7503 |
Full Name | Avatar Residential Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 33 College Hill Rd, Warwick, Rhode Island |
Authorized Official Name and Position | Kathleen A Ellis (VICE PRESIDENT) |
Authorized Official Contact | 4018267500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avatar Residential Inc. 33 College Hill Rd Building 33 Warwick RI 02886-2776 Ph: (401) 826-7500 | Avatar Residential Inc. 33 College Hill Rd Building 33 Warwick RI 02886-2776 Ph: (401) 826-7500 |
NPI Number | 1366569030 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366569030 | NPI | - | NPPES |
AI54337 | Other | RI | PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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