Healthcare Provider Details
I. General information
NPI: 1700127065
Provider Name (Legal Business Name): ACADEMY FOR LITTLE CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2013
Last Update Date: 03/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 JAMES P MURPHY IND HWY
WEST WARWICK RI
02893-2383
US
IV. Provider business mailing address
10 JAMES P MURPHY IND HWY
WEST WARWICK RI
02893-2383
US
V. Phone/Fax
- Phone: 401-823-5000
- Fax: 401-827-8188
- Phone: 401-823-5000
- Fax: 401-827-8188
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLOTTE
L
MORETTI
Title or Position: PRESIDENT
Credential: M.ED.
Phone: 401-823-5000