Provider Demographics
NPI:1154454627
Name:NORTHEAST LEAD MANAGEMENT
Entity Type:Organization
Organization Name:NORTHEAST LEAD MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASTER ENVIRONMENTAL LEAD INSPECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSANI-BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:MLI
Authorized Official - Phone:401-725-7922
Mailing Address - Street 1:PO BOX 40937
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02940-0937
Mailing Address - Country:US
Mailing Address - Phone:401-725-7922
Mailing Address - Fax:
Practice Address - Street 1:33 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-6121
Practice Address - Country:US
Practice Address - Phone:401-725-7922
Practice Address - Fax:401-726-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMLI-0018171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty