East Bay Al Operator, LLC
NPI #1336612357 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1336612357
- Entity Type
- Organization
- Organization Name
- East Bay Al Operator, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 3, 2019
- Last Updated
- Jan 3, 2019
Practice Location
- Address
- 1440 WAMPANOAG TRL
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-1045
- Phone
- (401) 433-5000
Authorized Official
- Name
- KISHA-GAY JOHNSON
- Title
- REVENUE ACCOUNTING MANAGER
- Phone
- (410) 427-2669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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