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Organization

OES HOME OF RI,INC/ETHAN PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA L. LACROSS RN (ADMINISTRATOR)
(401) 781-5460
Entity
Organization

Contact information

Practice address
85 ETHAN ST, WARWICK, RI 02888-3905
(401) 781-5460
(401) 781-0479
Mailing address
85 ETHAN ST, WARWICK, RI 02888-3905
(401) 781-5460
(401) 781-0479

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RI

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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