Organization
CITY OF EAST PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA DUARTE BA (MEDICAID COORDINATOR)
14014336216
Entity
Organization
Contact information
Practice address
80 BURNSIDE AVE, RIVERSIDE, RI 02915-3223
(401) 433-6216
Mailing address
80 BURNSIDE AVE, RIVERSIDE, RI 02915-3223
(401) 433-6216
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
(LEA)
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EP11565
—
RI
Enumeration date
03/21/2007
Last updated
07/21/2022
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