Organization
DEPARTMENT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA L. HUGHES MA, CRC (EARLY INTERVENTION PROGRAM DIRECTOR)
(401) 222-2300
Entity
Organization
Contact information
Practice address
40 FOUNTAIN ST, 3RD FLOOR, PROVIDENCE, RI 02903-1830
(401) 222-2300
(401) 222-1328
Mailing address
40 FOUNTAIN ST, 3RD FLOOR, PROVIDENCE, RI 02903-1830
(401) 222-2300
(401) 222-1328
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
EXEMPT FROM LICENSE
RI
251K00000X
Public Health or Welfare Agency
Primary
EXEMPT FROM LICENSE
RI
332BC3200X
Customized Equipment (DME)
LICENSE NOT NEEDED
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OR07163
—
RI
05
—
OS63933
—
RI
Enumeration date
05/18/2007
Last updated
01/29/2010
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