Corporation Limited Liability Company / Throat Conscious Sedation Ophthalmology Laboratory / ONE Governmental Entity Sole Proprietorship Partnership Limited Partnership / Partnership Limited Partnership Corporation Limited Liability Company / /
Currency
USD / /
Facility
Building Info / Ambulatory Surgery Center / /
Organization
Providence Plantations Department of Health INSTRUCTIONS / Providence Plantations Department of Health Licensee Name / Providence Plantations Department / RI Department of Health Licensing Application / Licensing Agency / Rhode Island Division of Taxation / Department of Health / Additional Service / Group Affiliation / Parent Organization / Ambulatory Surgery Center RI General Law Chapter / Rhode Island Department of Health Facilities Regulation / Providence Plantations Department of Health Ownership Address Information / /
Person
Law Chapter / / /
Position
Physician / Director Information / representative / General / Tax Administrator / proprietor / General Treasurer / Medical Director for this facility / Medical Director / /
State of Rhode Island and Providence Plantations