MEDICARE: GALILEE MISSION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	324500000X	Substance Abuse Rehabilitation Facility	611	RI

General Provider Information

NPI Number	:	1003045782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALILEE MISSION, INC.

Provider Business Mailing Address
First Line	:	1220 KINGSTOWN RD STE A
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-7909
Country	:	US
Telephone Number	:	401-789-9390
Fax Number	:	401-789-3454

Provider Business Practice Location Address
First Line	:	1220 KINGSTOWN RD STE A
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-7909
Country	:	US
Telephone Number	:	401-789-9390
Fax Number	:	401-789-3454

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. LYNN ELAINE SERRA
Credential	:
Telephone Number	:	401-789-9390

Provider Enumeration Date	:	07/02/2009
Last Update Date	:	02/09/2026

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Directions to “GALILEE MISSION, INC. ” Practice Location

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