National Provider Identifier Database

ETHAN PLACE
Recovery Care


Contact Information

ETHAN PLACE
85 ETHAN ST
WARWICK, RI02888-3905
Phone: 401-781-5460
Fax: 401-781-0479
Website:
Specialty Taxonomy Code
* Recovery Care 261QR0800X

* Indicates primary specialty

NPI Profile & details for ETHAN PLACE

NPI Number 1780807347
Legal business name
LBN
ETHAN PLACE
Authorized official SANDRA LACROSS - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/11/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • RI License #: 207

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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