Pawtucket Snf Operator LLC
NPI #1285242610 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1285242610
- Entity Type
- Organization
- Organization Name
- Pawtucket Snf Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 22, 2020
- Last Updated
- Jul 22, 2020
Practice Location
- Address
- 70 GILL AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02861-4315
- Phone
- (401) 722-7900
Authorized Official
- Name
- JEFFREY KAGAN
- Title
- OWNER
- Phone
- (410) 877-6630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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