Healthcare Provider Details
I. General information
NPI: 1144496803
Provider Name (Legal Business Name): PERSPECTIVES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2008
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
446 MOONSTONE BEACH RD
WAKEFIELD RI
02879-5110
US
IV. Provider business mailing address
1130 TEN ROD RD BUILDING B - SUITE 101
NORTH KINGSTOWN RI
02852-4161
US
V. Phone/Fax
- Phone: 401-783-2473
- Fax:
- Phone: 401-294-3990
- Fax: 401-294-9879
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
C
RUPPELL
Title or Position: PRESIDENT
Credential:
Phone: 401-294-3990