MEDICARE: CARE NEW ENGLAND WELLNESS CENTER

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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)		RI

General Provider Information

NPI Number	:	1275559866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE NEW ENGLAND WELLNESS CENTER

Provider Business Mailing Address
First Line	:	15 CATAMORE BLVD
Second Line	:
City	:	EAST PROVIDENCE
State	:	RI
Zip	:	02914-1203
Country	:	US
Telephone Number	:	401-434-7784
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 CATAMORE BLVD
Second Line	:
City	:	EAST PROVIDENCE
State	:	RI
Zip	:	02914-1203
Country	:	US
Telephone Number	:	401-434-7784
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	BARBARA HAYDON
Credential	:
Telephone Number	:	401-732-3066

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	11/08/2007

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