Organization
ST JUDE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRISCILLA PASCALE (ADMINISTRATOR)
(401) 944-4489
Entity
Organization
Contact information
Practice address
1006 RESERVOIR AVE, BASEMENT, CRANSTON, RI 02910-5122
(401) 944-4489
(401) 944-4487
Mailing address
1006 RESERVOIR AVE, BASEMENT, CRANSTON, RI 02910-5122
(401) 944-4489
(401) 944-4487
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HNC02292
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SJ43513
—
RI
Enumeration date
07/18/2005
Last updated
08/22/2020
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