Organization
PACIFICA VICTORIA COURT LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN JEAN DELMONICO (BUSINESS OFFICE MANGER)
(401) 946-5522
Entity
Organization
Contact information
Practice address
55 OAKLAWN AVE, CRANSTON, RI 02920-9334
(401) 946-5522
(401) 942-5582
Mailing address
55 OAKLAWN AVE, CRANSTON, RI 02920-9334
(401) 946-5522
(401) 942-5582
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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