Organization
THE FOGARTY CENTER
Active
Other names
Personal Choice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C REISS (EXECUTIVE DIRECTOR)
(401) 245-7900
Entity
Organization
Contact information
Practice address
310 MAPLE AVE, SUITE 102, BARRINGTON, RI 02806-3430
(401) 245-7900
(401) 245-7910
Mailing address
310 MAPLE AVE, SUITE 102, BARRINGTON, RI 02806-3430
(401) 245-7900
(401) 245-7910
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
183
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS59568
DHS - STATE OF RI
RI
Enumeration date
10/07/2009
Last updated
01/03/2017
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