ETHAN PLACE; NPI #1780807347

Contact Information

ETHAN PLACE

85 ETHAN ST
WARWICK, RI 02888-3905

Phone: 401-781-5460
Fax: 401-781-0479
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Recovery Care	261QR0800X

Indicates primary specialty

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NPI Profile & details for ETHAN PLACE

NPI Number 1780807347

LBN Legal business name ETHAN PLACE

Authorized official SANDRA LACROSS - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/11/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

207

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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