| NPI | 1063538502 |
|---|---|
| Doing Business As | JOHN E. FOGARTY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN COSTA Controller 401-353-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: RI 249) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |