Healthcare Provider Details

I. General information

NPI: 1376665885
Provider Name (Legal Business Name): LOOKING UPWARDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 BEACON ST
MIDDLETOWN RI
02842-4805
US

IV. Provider business mailing address

438 E MAIN RD
MIDDLETOWN RI
02842-7263
US

V. Phone/Fax

Practice location:
  • Phone: 401-847-0092
  • Fax:
Mailing address:
  • Phone: 401-847-0960
  • Fax: 401-845-6149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number69
License Number StateRI

VIII. Authorized Official

Name: LISA M LASKY
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 401-847-0960