Provider Demographics
NPI:1720869191
Name:TAMARISK INC
Entity Type:Organization
Organization Name:TAMARISK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HELAYNE
Authorized Official - Middle Name:G
Authorized Official - Last Name:GOLDSTEIN-RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-732-0037
Mailing Address - Street 1:3 SHALOM DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1695
Mailing Address - Country:US
Mailing Address - Phone:401-732-0037
Mailing Address - Fax:401-921-0056
Practice Address - Street 1:3 SHALOM DR
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1695
Practice Address - Country:US
Practice Address - Phone:401-732-0037
Practice Address - Fax:401-927-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility