Provider Demographics
NPI:1275559866
Name:CARE NEW ENGLAND WELLNESS CENTER
Entity Type:Organization
Organization Name:CARE NEW ENGLAND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-732-3066
Mailing Address - Street 1:15 CATAMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1203
Mailing Address - Country:US
Mailing Address - Phone:401-434-7784
Mailing Address - Fax:
Practice Address - Street 1:15 CATAMORE BLVD
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1203
Practice Address - Country:US
Practice Address - Phone:401-434-7784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)