OrganizationActive
Easter Seals Rhode Island
NPI 1871079863 · Child Intellectual and/or Developmental Disabilities Respite Care · Providence, RI
Provider details
- NPI number
- 1871079863
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Mia Martin, Cfo-Esct(512) 615-6811
- License
- 848.00 (RI)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense 848.00 (RI)
Respite Care Facility
Practice location
662 Hartford Ave
Providence, RI 02909-5917
Phone: (401) 854-9353
Approximate (ZIP-level) locationGet directions
Mailing address
633 Third Aveune 6th Floor
Ny, NY 10017-6701
Registry dates
- Enumerated
- 2018-07-13
- Last updated
- 2018-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.