Organization
TRI-TOWN ECONOMIC OPPORTUNITY COMMITTEE
Active
Other names
Tri-Town Community Action Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R DESANTIS (CHIEF EXECUTIVE OFFICER)
(401) 519-1902
Entity
Organization
Contact information
Practice address
1126 HARTFORD AVE, JOHNSTON, RI 02919-7109
(401) 351-2750
Mailing address
1126 HARTFORD AVE, JOHNSTON, RI 02919-7109
(401) 351-2750
(401) 349-3125
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TT37279
—
RI
01
—
TT77363
RI MEDICAL ASSISTANCE
RI
Enumeration date
10/10/2011
Last updated
11/10/2011
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