| NPI | 1437155546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FAIRBANK Administrator 401-294-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: RI LTC678) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-11-06 |