Organization
OASIS OF RHODE ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYGE B KALISA (CFO)
(401) 499-9117
Entity
Organization
Contact information
Practice address
61 FAIRFIELD AVE, PROVIDENCE, RI 02909-4105
(401) 499-9117
Mailing address
61 FAIRFIELD AVE, PROVIDENCE, RI 02909-4105
(401) 499-9117
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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