Organization
LIFE LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI E DELFOSSE RN (HEALTH DIRECTOR)
(401) 932-9342
Entity
Organization
Contact information
Practice address
30 W MAIN ST, NORTH KINGSTOWN, RI 02852-5112
(401) 295-5269
Mailing address
30 W MAIN ST, NORTH KINGSTOWN, RI 02852-5112
(401) 295-5269
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
RN48162
RI
251S00000X
Community/Behavioral Health Agency
Primary
RN32761
RI
Other
Enumeration date
12/05/2014
Last updated
12/07/2014
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