Mowry Group Home
LBN: State Of Rhode Island And Providence Plantations
Mowry Group Home is an health care organization with primary practice located at 80 Mowry Avenue , North Smithfield RI 02896-7110. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
State Of Rhode Island And Providence Plantations can be contacted via phone (401) 769-6681, or through White, Jennifer Rae via phone (401) 462-1343.
Contact Information
Primary practice address
80 Mowry Avenue
North Smithfield RI 02896-7110
Phone: (401) 769-6681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 321 |
Profile Details
| NPI number | 1164567202 |
|---|---|
| LBN Legal business name | State Of Rhode Island And Providence Plantations |
| DBA Doing business as | Mowry Group Home |
| Authorized official | White, Jennifer Rae |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Aug 22nd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164567202 | NPPES |
| Rhode Island | MEDICAID | LC01616 |
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