Organization
LATIN ADULT DAY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO MANCEBO (EXECUTIVE DIRECTOR)
(401) 272-3252
Entity
Organization
Contact information
Practice address
665 CHARLES STREET, PROVIDENCE, RI 02904
(401) 272-3252
(401) 603-0912
Mailing address
665 CHARLES ST, PROVIDENCE, RI 02904
(401) 272-3252
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
RI
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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