Organization
PACE ORGANIZATION OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MCANAUGH (CFO)
(401) 434-1400
Entity
Organization
Contact information
Practice address
10 TRIPPS LANE, RIVERSIDE, RI 02915
(401) 654-4789
(401) 654-4660
Mailing address
10 TRIPPS LANE, RIVERSIDE, RI 02915
(401) 654-4789
(401) 654-4660
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
Primary
19
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H4105
PACE DHS CONTRACT #
—
Enumeration date
12/21/2005
Last updated
07/09/2024
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