TRI-COUNTY COMMUNITY ACTION AGENCY
Ambulatory Health at Hartford Ave, Providence, RI

License number
Rhode Island ACF01507
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: JOSEPH R DESANTIS
Title: CHIEF EXECUTIVE OFFICER
Phone: (401) 519-1967
Address
Address
1126 Hartford Ave, Providence, RI 02919
National Provider ID: 1396780086
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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