| NPI | 1346234135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM MIGA President/Administrator 401-295-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI 608) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: RI 608) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2014-09-10 |