Provider Demographics
NPI:1053128785
Name:REFUGEE DEVELOPMENT CENTER
Entity type:Organization
Organization Name:REFUGEE DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TEDDI
Authorized Official - Middle Name:
Authorized Official - Last Name:JALLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-300-0544
Mailing Address - Street 1:747 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1601
Mailing Address - Country:US
Mailing Address - Phone:401-300-0544
Mailing Address - Fax:
Practice Address - Street 1:747 BROAD ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1601
Practice Address - Country:US
Practice Address - Phone:401-300-0544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase Management