| NPI | 1003818063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN LEVESQUE Administrator 401-353-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI 598) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: RI 596) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2011-07-06 |