Organization · NPI-2

Purple Shield Medical LLC

Home Health · Warwick, RI

NPI number1801487491
StatusActive
Last updated in NPPESMar 7, 2022

Details

NPI
1801487491
Entity type
Organization (NPI-2)
Legal business name
Purple Shield Medical LLC
Organization subpart
No
Enumeration date
Jan 27, 2021
Certification date
Mar 7, 2022
Last updated
Mar 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine––

Practice location

3649 Post Rd Ste 2
Warwick, RI 02886-7236

Phone 508-536-2730 · Fax 508-675-9920

Mailing address

3649 Post Rd Ste 2
Warwick, RI 02886-7236

Phone 508-536-2730 · Fax 508-675-9920

Authorized official

Joseph Moss
President
5087284178

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