| NPI | 1043337330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN P AUDINO Owner 401-949-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: RI ALR01379) |
| 314000000X Skilled Nursing Facility (Licence: RI LTC00704) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-06-13 |