Provider Demographics
NPI:1063288306
Name:TOWN OF LITTLE COMPTON
Entity type:Organization
Organization Name:TOWN OF LITTLE COMPTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STUDENT SUPPORT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFRESNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-239-9758
Mailing Address - Street 1:28 COMMONS P.O. BOX 178
Mailing Address - Street 2:
Mailing Address - City:LITTLE COMPTON
Mailing Address - State:RI
Mailing Address - Zip Code:02837-9998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28 COMMONS
Practice Address - Street 2:
Practice Address - City:LITTLE COMPTON
Practice Address - State:RI
Practice Address - Zip Code:02837-9998
Practice Address - Country:US
Practice Address - Phone:401-592-0363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)Group - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty