| NPI | 1962534156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MCGOVERN Executive Director 4018-858-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: RI 1424) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |