Prospect Chartercare Elmhurst, LLC
NPI #1457776452 in Providence, Rhode Island
Provider Information
- NPI Number
- 1457776452
- Entity Type
- Organization
- Organization Name
- Prospect Chartercare Elmhurst, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 27, 2014
- Last Updated
- Jan 15, 2021
Practice Location
- Address
- 50 MAUDE ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02908-4325
- Phone
- (401) 456-2623
Authorized Official
- Name
- ROBERT JON ELDERS
- Title
- SECRETARY
- Phone
- (714) 788-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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