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Organization
PROSPECT CHARTERCARE HOME HEALTH AND HOSPICE, LLC
Active
Organization
PROSPECT CHARTERCARE HOME HEALTH AND HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. ELDERS ESQ. (ASSISTANT SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-2273
Mailing address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-2273
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
Other
Enumeration date
12/07/2017
Last updated
04/30/2018
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