Provider Demographics
NPI:1073398442
Name:HARRY-HECTOR, ALLICIA
Entity Type:Individual
Prefix:
First Name:ALLICIA
Middle Name:
Last Name:HARRY-HECTOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 BENEFIT ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1025
Mailing Address - Country:US
Mailing Address - Phone:401-389-2004
Mailing Address - Fax:
Practice Address - Street 1:122 BENEFIT ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-1025
Practice Address - Country:US
Practice Address - Phone:401-389-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide