Organization
MODUPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MODUPE O WILLIAMS RN (NURSE)
(401) 447-8569
Entity
Organization
Contact information
Practice address
1 KRISTEN DR, NORTH PROVIDENCE, RI 02911-2932
(401) 447-8569
Mailing address
1 KRISTEN DRIVE, NORTH PROVIDENCE, RI 02911-2932
(401) 447-8569
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RN42505
RI
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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