Organization
ELMWOOD HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR YATSKAR (PRESIDENT)
(401) 941-1347
Entity
Organization
Contact information
Practice address
120 DUDLEY STREET, SUITE 201, PROVIDENCE, RI 02905
(401) 941-1347
(401) 941-0823
Mailing address
120 DUDLEY STREET, SUITE 201, PROVIDENCE, RI 02905
(401) 941-1347
(401) 941-0823
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
RI
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
06/10/2016
Last updated
05/19/2023
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