Provider Demographics
NPI:1093900383
Name:RGB GROUP INC.
Entity Type:Organization
Organization Name:RGB GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LARRIVEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-701-6999
Mailing Address - Street 1:86 BUDDINGTON RD APT 3
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-3236
Mailing Address - Country:US
Mailing Address - Phone:860-625-1296
Mailing Address - Fax:
Practice Address - Street 1:86 BUDDINGTON RD APT 3
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-3236
Practice Address - Country:US
Practice Address - Phone:860-625-1296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT066693251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care