Provider Demographics
NPI:1922278589
Name:PARI INDEPENDENT LIVING CENTER, INC.
Entity Type:Organization
Organization Name:PARI INDEPENDENT LIVING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:CANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-725-1966
Mailing Address - Street 1:500 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6260
Mailing Address - Country:US
Mailing Address - Phone:401-725-1966
Mailing Address - Fax:401-725-2104
Practice Address - Street 1:500 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-6260
Practice Address - Country:US
Practice Address - Phone:401-725-1966
Practice Address - Fax:401-725-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care