| NPI | 1538158456 |
|---|---|
| Doing Business As | PINE GROVE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS LLOYD RYAN President Owner 401-568-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI 601) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-22 |