NPI 1013308188

Latin Adult Day Health Care Center

Organisation Adult Day Care Clinic/Center Providence, RI

Practice location

Address: 663 Charles St, Providence, RI 02904-1350
Phone: (401) 709-2392
Fax: (401) 603-0912
Mailing address: 665 Charles St, Providence, RI 02904

Authorised official

Name: Mario Mancebo
Title: Director
Phone: (401) 709-2392

Registered specialties

Adult Day Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA0600X Licence ADC00038 (RI)

Other Clinic/Center providers in Rhode Island →

Registry record

NPI: 1013308188
Entity type: Organization
NPI issued: 11 Feb 2015
Record last updated: 3 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.