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Organization
LATIN ADULT DAY HEALTH CARE CENTER: HOME CARE SERVICES, LLC
Active
Organization
LATIN ADULT DAY HEALTH CARE CENTER: HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO MANCEBO (OWNER)
(401) 288-8672
Entity
Organization
Contact information
Practice address
665 CHARLES STREET, PROVIDENCE, RI 02904
(401) 288-8672
(401) 603-0912
Mailing address
665 CHARLES STREET, PROVIDENCE, RI 02904
(401) 288-8672
(401) 603-0912
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HCP02470
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013308188
—
RI
Enumeration date
04/18/2018
Last updated
07/02/2018
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