| NPI | 1649276726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE RICHARD Administrator 401-333-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI 555) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-08-22 |