Provider Demographics
NPI:1922814862
Name:SILOU HEALTHCARE
Entity type:Organization
Organization Name:SILOU HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BORNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-533-1051
Mailing Address - Street 1:524 PROVIDENCE ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-6254
Mailing Address - Country:US
Mailing Address - Phone:401-533-1051
Mailing Address - Fax:
Practice Address - Street 1:225 MAIN STREET
Practice Address - Street 2:OFFICE #3
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-0000
Practice Address - Country:US
Practice Address - Phone:401-533-1051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty