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Organization
PRIME HEALTHCARE SERVICES LANDMARK LLC
Active
Organization
PRIME HEALTHCARE SERVICES LANDMARK LLC
Active
Parent organization
PRIME HEALTHCARE SERVICES LANDMARK LLC
Other names
NRI Rehab Mgmt Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE SERVICES LANDMARK LLC
Authorized official
MS. STACY VIENS (PRACTICE ADMINISTRATOR)
(401) 769-4100
Entity
Organization
Contact information
Practice address
219 CASS AVE, WOONSOCKET, RI 02895-4736
(401) 769-4100
(401) 766-9575
Mailing address
219 CASS AVE, WOONSOCKET, RI 02895-4736
(401) 769-4100
(401) 766-9575
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
01/11/2017
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