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JAMES L MAHER CENTER

Residential Treatment Mental Retardation

Newport, Rhode Island

Provider NPI: 1538290481

Organization Information:
Organization Name:  JAMES L MAHER CENTER
Authorized Official:  JOHN  MAHER  EXECUTIVE DIRECTOR  401-8460340

Practice Location:
120 HILLSIDE AVE  NEWPORT, RI 02840 US
Tel: 401-846-0340  Fax: --

Business Mailing Address:
PO BOX 4390  MIDDLETOWN, RI 02842 US
Tel: --  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Other Provider Identifiers:

IssuerNumberStateType
UW02863RI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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