Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Metabolic |
133VN1006X | 71 | Registered Dietitian or Nutrition Professional |
| NPI Number | 1558768663 |
| LBN Legal business name | EAST PROVIDENCE SENIOR CENTER |
| Authorized official | ROBERT ROCK - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/04/2014 |
| Last updated | 12/04/2014 - About 12 years ago |
| Identifiers | n/a |
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EAST PROVIDENCE SENIOR CENTER
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