Healthcare Provider Details

I. General information

NPI: 1619414992
Provider Name (Legal Business Name): NALARI HEALTH PA MOBILE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2017
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 MAPLE AVE STE 103
BARRINGTON RI
02806-3560
US

IV. Provider business mailing address

18 MAPLE AVE STE 103
BARRINGTON RI
02806-3560
US

V. Phone/Fax

Practice location:
  • Phone: 401-684-1064
  • Fax:
Mailing address:
  • Phone: 401-684-1064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK P TREAT
Title or Position: PRESIDENT
Credential:
Phone: 401-684-1064