# BOTI DIET LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boti Diet LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043718752
- **Authorized official:** AUDREY HALL (OWNER)
- **Authorized official phone:** (401) 595-2879

## Contact information

- **Practice address:** 6 HOOD AVE, RUMFORD, RI 02916-1504
- **Practice address phone:** (401) 595-2879
- **Mailing address:** 6 HOOD AVE, RUMFORD, RI 02916-1504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2018
- **Last updated:** 01/28/2018