Healthcare Provider Details

I. General information

NPI: 1508902750
Provider Name (Legal Business Name): FOSTER SCHOOL DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23A THEODORE FOSTER DR
NORTH SCITUATE RI
02857-1066
US

IV. Provider business mailing address

23A THEODORE FOSTER DR
NORTH SCITUATE RI
02857-1066
US

V. Phone/Fax

Practice location:
  • Phone: 401-647-4106
  • Fax: 401-647-4107
Mailing address:
  • Phone: 401-647-4106
  • Fax: 401-647-4107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN MAGNER
Title or Position: DIRECTOR OF SPECIAL EDUCATION REGIO
Credential:
Phone: 401-647-4106