Bannister Operations Assoc LLC
NPI #1184008088 in Providence, Rhode Island
Provider Information
- NPI Number
- 1184008088
- Entity Type
- Organization
- Organization Name
- Bannister Operations Assoc LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 10, 2015
- Last Updated
- Aug 11, 2016
Practice Location
- Address
- 135 DODGE ST
- Address 2
- STREET
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02907-2210
- Phone
- (401) 521-9600
Authorized Official
- Name
- MR. JONATHON HAGLER
- Title
- MEMBER
- Phone
- (718) 931-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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