PROSPECT CHARTERCARE SJHSRI, LLC

N PROVIDENCE, RI
NPI1821656034
Entity TypeOrganization
Authorized ContactROBERT JON ELDERS
Secretary
714-788-1249
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2019-06-03
Last Update Date2021-01-15
Business Address
PROSPECT CHARTERCARE SJHSRI, LLC
200 HIGH SERVICE AVE
N PROVIDENCE, RI 02904-5113
Phone number: 310-943-4500
Mailing Address
PROSPECT CHARTERCARE SJHSRI, LLC
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904-5113
Phone number: 310-943-4500
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