Healthcare Provider Details

I. General information

NPI: 1578693172
Provider Name (Legal Business Name): LOOKING UPWARDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 E MAIN RD
MIDDLETOWN RI
02842-7263
US

IV. Provider business mailing address

438 E MAIN RD
MIDDLETOWN RI
02842-7263
US

V. Phone/Fax

Practice location:
  • Phone: 401-847-0960
  • Fax: 401-845-9618
Mailing address:
  • Phone: 401-847-0960
  • Fax: 401-845-9618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA M LASKY
Title or Position: FINANCIAL DIRECTOR
Credential: MBA
Phone: 401-847-0960