| NPI | 1871997700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JEAN LEFORT Owner 401-769-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: RI 00963) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |