Organization
RI DEPT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MARISI (KEY ADMINISTRATOR)
(401) 222-1402
Entity
Organization
Contact information
Practice address
3 CAPITOL HL, ATTN M DOMENECH ROOM 209, PROVIDENCE, RI 02908-5034
(401) 222-7772
(401) 222-6953
Mailing address
3 CAPITOL HILL, ATTN M DOMENECH ROOM 209, PROVIDENCE, RI 02908-5097
(401) 222-7772
(401) 222-6953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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