Theodore J Hardgrove
NPI #1174986608 in Providence, Rhode Island
Provider Information
- NPI Number
- 1174986608
- Entity Type
- Organization
- Organization Name
- Theodore J Hardgrove
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 1, 2016
- Last Updated
- Apr 1, 2016
Practice Location
- Address
- 174 WOODWARD RD
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02904-1720
- Phone
- (401) 749-7088
Authorized Official
- Name
- THEODORE JAMES HARDGROVE, LICSW
- Title
- PRINCIPAL
- Phone
- (401) 749-7088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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