Shady Acres Operations Assoc LLC
NPI #1366997082 in West Kingston, Rhode Island
Provider Information
- NPI Number
- 1366997082
- Entity Type
- Organization
- Organization Name
- Shady Acres Operations Assoc LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 23, 2016
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 415 GARDNER RD
- City
- West Kingston
- State
- Rhode Island
- ZIP Code
- 02892-1047
- Phone
- (401) 295-8520
Authorized Official
- Name
- KENNETH ROZENBERG
- Title
- MEMBER
- Phone
- (718) 931-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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