Organization
HOSA HEALTH AND WELLNESS CENTER LLC
Active
Organization
HOSA HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAN E IDAHOSA (OWNER)
(401) 633-2577
Entity
Organization
Contact information
Practice address
867 PARK AVE, WOONSOCKET, RI 02895-5872
(401) 633-2577
Mailing address
161 HAMILTON ST, WOONSOCKET, RI 02895-5968
(401) 633-2577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/10/2021
Last updated
06/19/2023
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