NPI: 1255666731 · PROVIDENCE, RI 02903 · Local Education Agency (LEA) · NPI assigned 10/16/2009
| Authorized Official | DESAVETORE, LAWRENCE (HEAD OF SCOOL) |
| NPI Enumeration Date | 10/16/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 75 | $874.00 |
| 2019 | 108 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X0215 | 183 | 135 | $2K |