NPI 1235676289
Modupe
Practice location
- Address
- 1 Kristen Dr, North Providence, RI 02911-2932
- Phone
- (401) 447-8569
- Mailing address
- 1 Kristen Drive, North Providence, RI 02911-2932
Authorised official
- Name
- Modupe O Williams
- Title
- Nurse
- Phone
- (401) 447-8569
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1235676289
- Entity type
- Organization
- NPI issued
- 30 Jan 2017
- Record last updated
- 30 Jan 2017
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.