| NPI | 1508247479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE L BORGES Occupational Therapy Assistant 508-496-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI OTA00562) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MA 3466) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |