Organization
ACTION BASED ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANTHONY PURCELL M.ED (SPECIAL EDUCATION DIRECTOR)
(401) 767-5959
Entity
Organization
Contact information
Practice address
141 MAIN ST, WOONSOCKET, RI 02895-4330
(401) 767-5959
(401) 767-5957
Mailing address
PO BOX 19038, JOHNSTON, RI 02919-0038
(401) 767-5959
(401) 767-5957
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
399
RI
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB70308
—
RI
Enumeration date
05/22/2007
Last updated
05/04/2012
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