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Organization

HAUS OF CODEC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE MARLEY (DIRECTOR OF OPERATIONS & DEVELOPMEN)
(401) 484-7465
Entity
Organization

Contact information

Practice address
1279 BROAD ST, PROVIDENCE, RI 02905-2935
(401) 484-7465
Mailing address
133 MATHEWSON ST STE 101, PROVIDENCE, RI 02903-1858

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
09/04/2025
Last updated
03/06/2026
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