| NPI | 1629070206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DOS SANTOS Administrator 401-849-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI LTC00004) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2024-03-05 |