| NPI | 1033151519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ARNOLD Administrator 401-849-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: RI 589) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: RI 589) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |