Boti Diet LLC

Organization Active NPI Clinic/Center · Rumford, RI

NPI 1043718752 · NPPES record last updated Jan 28, 2018

Key facts

NPI
1043718752
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
BOTI DIET LLC
Practice address
6 Hood Ave
Rumford, RI 02916-1504
Phone
(401) 595-2879
NPI assigned
Jan 28, 2018
Organization subpart
No

Authorized official

Name
Audrey Hall
Title
Owner
Phone
(401) 595-2879

National Provider Directory

Locations

845 Oaklawn Ave
Ste 104
Cranston, RI 02920
Phone (401) 595-2879

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

6 Hood Ave
Rumford, RI 02916-1504

Mailing address

6 Hood Ave
Rumford, RI 02916-1504

Other names

  • Boti Diet LLC Doing business as

Other providers in Rumford, RI

All providers in Rumford, RI · Clinic/Center in Rhode Island

Sources for this page

Verify at the official NPI Registry.