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NPI Code Detail

MEDICARE: URBAN LEAGUE OF RI

MEDICARE: URBAN LEAGUE OF RI
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
1252Y00000XEarly Intervention Provider Agency64272RI
2253J00000XFoster Care Agency57062RI

General Provider Information

NPI Number : 1891048393
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN LEAGUE OF RI
Provider Business Mailing Address
First Line : 246 PRAIRIE AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02905-2333
Country : US
Telephone Number : 401-351-5000
Fax Number : 401-454-1946
Provider Business Practice Location Address
First Line : 246 PRAIRIE AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02905-2333
Country : US
Telephone Number : 401-351-5000
Fax Number : 401-454-1946
Authorized Official
Title or Position : CEO
Name : DENNIS BARRINGTON LANGLEY
Credential : PH.L
Telephone Number : 401-351-5000
Provider Enumeration Date : 10/22/2012
Last Update Date : 10/22/2012

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Directions to “URBAN LEAGUE OF RI ” Practice Location

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