Organization
THEODORE J HARDGROVE
Active
Other names
Geriatric Consultation Services
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE JAMES HARDGROVE LICSW (PRINCIPAL)
(401) 749-7088
Entity
Organization
Contact information
Practice address
174 WOODWARD RD, PROVIDENCE, RI 02904-1720
(401) 749-7088
Mailing address
174 WOODWARD ROAD, PROVIDENCE, RI 02904
(401) 749-7088
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1024143
MA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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