Provider Demographics
NPI:1790905685
Name:FRANK OLEAN CENTER, INC.
Entity Type:Organization
Organization Name:FRANK OLEAN CENTER, INC.
Other - Org Name:FRANK OLEAN CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:MASTROFINO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:401-315-0143
Mailing Address - Street 1:101 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-3430
Mailing Address - Country:US
Mailing Address - Phone:401-315-0143
Mailing Address - Fax:401-315-0201
Practice Address - Street 1:93 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-3420
Practice Address - Country:US
Practice Address - Phone:401-596-2091
Practice Address - Fax:401-596-3945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIWC54376Medicaid