Organization
THE FOGARTY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE C BRODEUR (CFO)
(401) 245-7900
Entity
Organization
Contact information
Practice address
310 MAPLE AVE STE 102, BARRINGTON, RI 02806-3431
(401) 245-7900
(401) 245-7910
Mailing address
310 MAPLE AVE STE 102, BARRINGTON, RI 02806-3431
(401) 245-7900
(401) 245-7910
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IP
—
RI
Enumeration date
10/23/2019
Last updated
10/23/2019
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