Organization
CRANSTON ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA I COPPAGE (FINANCIAL DIRECTOR)
(401) 941-1112
Entity
Organization
Contact information
Practice address
111 COMSTOCK PKWY, CRANSTON, RI 02921-2002
(401) 941-1112
(401) 941-2516
Mailing address
111 COMSTOCK PKWY, CRANSTON, RI 02921-2002
(401) 941-1112
(401) 941-2516
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
30
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC02917
EDS PROVIDER NUMBER
RI
Enumeration date
02/09/2007
Last updated
08/22/2020
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