NPI | 1568596351 |
---|---|
Former Legal Business Name | THE HOMESTEAD GROUP |
Entity Type | Organization |
Authorized Contact | MARISSA RUFF Vice President 401-597-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: RI 247) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2007-03-15 |
Last Update Date | 2023-07-27 |