Organization
ETHAN PLACE
Active
Other names
OES Home of RI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA L. LACROSS RN (DIRECTOR)
(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
261QR0800X
Recovery Care Clinic/Center
Primary
207
RI
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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