Shady Acres, Inc.
NPI #1346234135 in West Kingston, Rhode Island
Provider Information
- NPI Number
- 1346234135
- Entity Type
- Organization
- Organization Name
- Shady Acres, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 7, 2005
- Last Updated
- Sep 10, 2014
Practice Location
- Address
- 415 GARDNER RD
- City
- West Kingston
- State
- Rhode Island
- ZIP Code
- 02892-1047
- Phone
- (401) 295-8520
Authorized Official
- Name
- MR. CHARLES WILLIAM MIGA
- Title
- PRESIDENT/ADMINISTRATOR
- Phone
- (401) 295-8540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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| Adviniacare Kingston Rehab Center LLC |  AI Deep Dive |
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