| NPI | 1184714602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL H LYON Administrator Owner 401-847-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI 00737) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: RI ALR01308) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |