Organization
BLACKSTONE HEALTH, INC
Active
Other names
New Horizons Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GOUGH (EXECUTIVE DIRECTOR)
(401) 727-0950
Entity
Organization
Contact information
Practice address
426 MAIN ST, PAWTUCKET, RI 02860-2912
(401) 727-0950
(401) 725-3053
Mailing address
426 MAIN ST, PAWTUCKET, RI 02860-2912
(401) 727-0950
(401) 725-3053
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
13
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13
STATE LICENSE
RI
Enumeration date
03/08/2007
Last updated
08/22/2020
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