| NPI | 1811999576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL E. MAHONEY Administrator 401-789-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI LTC00352) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-22 |