Organization
LIFE CARE AT HOME OF RHODE ISLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RAU (VP OF FINANCE)
(423) 473-5280
Entity
Organization
Contact information
Practice address
63 SOCKANOSSET CROSS RD, STE 1C, CRANSTON, RI 02920-5557
(508) 238-6878
(508) 238-6980
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5256
(423) 339-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02286
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
409746
BLUE CHIP PROVIDER
RI
01
—
58748
BLUECROSS BLUE SHIELD
RI
Enumeration date
05/23/2005
Last updated
03/30/2011
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