198 Waterman Avenue LLC
NPI #1457610552 in East Providence, Rhode Island
Provider Information
- NPI Number
- 1457610552
- Entity Type
- Organization
- Organization Name
- 198 Waterman Avenue LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 9, 2012
- Last Updated
- Nov 8, 2024
Practice Location
- Address
- 198 WATERMAN AVE
- City
- East Providence
- State
- Rhode Island
- ZIP Code
- 02914-3523
- Phone
- (401) 751-3800
Authorized Official
- Name
- KELLY ARNOLD
- Title
- COO
- Phone
- (401) 751-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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