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Organization

RENAISSANCE ADHC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNY FRANCISCO (VICE-PRESIDENT)
(401) 640-7648
Entity
Organization

Contact information

Practice address
1090 EDDY ST, PROVIDENCE, RI 02905-4607
(401) 640-7648
Mailing address
1090 EDDY ST, PROVIDENCE, RI 02905-4607
(401) 640-7648

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
09/16/2014
Last updated
06/04/2015
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