| NPI | 1043258932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON H HARRIS Administrator 401-434-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI 708) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |