Prospect Chartercare Rwmc, LLC
NPI #1477978476 in Providence, Rhode Island
Provider Information
- NPI Number
- 1477978476
- Entity Type
- Organization
- Organization Name
- Prospect Chartercare Rwmc, LLC
- Primary Specialty
- Psychiatric Unit
- Enumeration Date
- Feb 27, 2014
- Last Updated
- Jan 11, 2021
Practice Location
- Address
- 825 CHALKSTONE AVE
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02908-4728
- Phone
- (401) 456-2000
Authorized Official
- Name
- ROBERT JON ELDERS
- Title
- SECRETARY
- Phone
- (714) 788-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Unit |
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