| NPI | 1669464699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL V. MARTIN Administrator 401-596-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI 492) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-06-11 |