Organization
PARK AVENUE SENIOR CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE A. QI RN (PRESIDENT)
(401) 946-7275
Entity
Organization
Contact information
Practice address
1049 PARK AVE, CRANSTON, RI 02910-3238
(401) 946-7275
(401) 946-7276
Mailing address
1049 PARK AVE, 1ST FLOOR, CRANSTON, RI 02910-3238
(401) 946-7275
(401) 946-7276
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
RI
Other
Enumeration date
09/16/2016
Last updated
10/30/2025
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