Organization
THE PROVIDENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISSEL VALENTIN (CLINICAL THERAPIST)
(401) 450-8227
Entity
Organization
Contact information
Practice address
195 CALIFORNIA AVE, PROVIDENCE, RI 02905-4323
(401) 450-8227
Mailing address
195 CALIFORNIA AVE, PROVIDENCE, RI 02905-4323
(401) 450-8227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
101Y00000X
RI
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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