Healthcare Provider Details

I. General information

NPI: 1689113011
Provider Name (Legal Business Name): NEW ENGLAND PREMIER HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 02/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 CUMBERLAND HILL RD
WOONSOCKET RI
02895-5635
US

IV. Provider business mailing address

343 4TH AVE APT 10A
BROOKLYN NY
11215-2719
US

V. Phone/Fax

Practice location:
  • Phone: 401-996-5267
  • Fax:
Mailing address:
  • Phone: 401-996-5267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberMD15142
License Number StateRI

VIII. Authorized Official

Name: DR. GARRON LAMP
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-996-5267