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Organization
EMMANUEL MEDICAL SERVICES LLC
Active
Organization
EMMANUEL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMOS ADELAIYE (OFFICE MANAGER)
(401) 200-8242
Entity
Organization
Contact information
Practice address
1417 DOUGLAS AVE STE 2, NORTH PROVIDENCE, RI 02904-4057
(401) 200-8242
(401) 415-0418
Mailing address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(401) 200-8242
(401) 415-0418
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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