Organization
J.ARTHUR TRUDEAU MEMORIAL CENTER CONVERSION WAIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB TEOLIS (DIRECTOR OF FINANCE)
(401) 739-2700
Entity
Organization
Contact information
Practice address
3445 POST RD, WARWICK, RI 02886-7147
(401) 739-2700
Mailing address
3445 POST RD, WARWICK, RI 02886-7147
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KC54347
—
RI
Enumeration date
03/23/2007
Last updated
06/17/2011
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