MEDICARE: THE SENSATIONAL CHILD, 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	332B00000X	Durable Medical Equipment & Medical Supplies	201977666	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336368406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SENSATIONAL CHILD, INC.

Provider Business Mailing Address
First Line	:	650 TEN ROD ROAD
Second Line	:
City	:	NO. KINGSTOWN
State	:	RI
Zip	:	02852-4238
Country	:	US
Telephone Number	:	401-667-2797
Fax Number	:	401-667-2788

Provider Business Practice Location Address
First Line	:	650 TEN ROD RD.
Second Line	:
City	:	NO. KINGSTOWN
State	:	RI
Zip	:	02852-4238
Country	:	US
Telephone Number	:	401-667-2797
Fax Number	:	401-667-2788

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. DANIEL JOSEPH MCGREGOR JR.
Credential	:
Telephone Number	:	401-667-2788

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/03/2014

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