Healthcare Provider Details

I. General information

NPI: 1013038462
Provider Name (Legal Business Name): FRUIT HILL DAY SERVICES FOR ELDERLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 FRUIT HILL AVE
NORTH PROVIDENCE RI
02911-2842
US

IV. Provider business mailing address

399 FRUIT HILL AVE
NORTH PROVIDENCE RI
02911-2842
US

V. Phone/Fax

Practice location:
  • Phone: 401-353-5805
  • Fax: 401-353-4904
Mailing address:
  • Phone: 401-353-5805
  • Fax: 401-353-4904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number15
License Number StateRI

VIII. Authorized Official

Name: MS. ALINE MARTHA GIROUX
Title or Position: EXECUTIVE DIRECTOR
Credential: R.N., B.S., MBA, MTS
Phone: 401-353-5805