Provider First Line Business Practice Location Address:
COMMUNITY RESIDENCES, INC. RHODE ISLAND
Provider Second Line Business Practice Location Address:
10 DORRANCE STREET, SUITE 706
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02903-2003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-519-3727
Provider Business Practice Location Address Fax Number:
860-371-2349
Provider Enumeration Date:
04/01/2019