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Church Of The Sacred Heart

Clinic/Center, Adult Day Care in East Providence, RI. Organization (NPI-2).

NPI number1679909352
StatusActive
Last updated in NPPESSep 25, 2013

Details

NPI
1679909352
Entity type
Organization (NPI-2)
Legal business name
Church Of The Sacred Heart
Organization subpart
Yes
Enumeration date
Sep 25, 2013
Last updated
Sep 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA0600X Clinic/Center, Adult Day Care––Yes

Practice location

118 Taunton Ave
East Providence, RI 02914-4550

Phone 401-434-0326 · Fax 401-434-1080

Mailing address

118 Taunton Ave
East Providence, RI 02914-4550

Phone 401-434-0326 · Fax 401-434-1080

Authorized official

Peter Samuel Di Tullio, S.Ol.C.
Adminstrator
4014340326

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