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Organization
ETHAN PLACE
Active
Organization
ETHAN PLACE
Active
Other names
OES Home of RI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA L. LACROSS RN (DIRECTOR)
(401) 781-5460
Entity
Organization
Contact information
Practice address
85 ETHAN ST, WARWICK, RI 02888-3905
(401) 781-5460
(401) 781-0479
Mailing address
85 ETHAN ST, WARWICK, RI 02888-3905
(401) 781-5460
(401) 781-0479
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
207
RI
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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