PI
PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
PROVIDENCE, RI
Licensed since
2018
Rate
—
Federal identifiers
NPI registry number1497220412
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients458
Authorized official
NameJONAH LICHT
TitleOWNER
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