Organization
EAST PROVIDENCE SENIOR CENTER
Active
Parent organization
CITY OF EAST PROVIDENCE
Other names
DSMT Program Health Nutrition Diabetes Office EPSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF EAST PROVIDENCE
Authorized official
ROBERT ROCK (DIRECTOR)
(401) 435-7800
Entity
Organization
Contact information
Practice address
610 WATERMAN AVE, EAST PROVIDENCE, RI 02914-2427
(401) 435-7800
(401) 435-7803
Mailing address
610 WATERMAN AVE, EAST PROVIDENCE, RI 02914-2427
(401) 435-7800
(401) 435-7803
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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