Epoch On Blackstone Boulevard, LLC
NPI #1720268402 in Providence, Rhode Island
Provider Information
- NPI Number
- 1720268402
- Entity Type
- Organization
- Organization Name
- Epoch On Blackstone Boulevard, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 9, 2007
- Last Updated
- Mar 17, 2008
Practice Location
- Address
- 353 BLACKSTONE BLVD
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-4936
- Phone
- (401) 273-6565
Authorized Official
- Name
- DEBORA PFAFF
- Title
- CFO
- Phone
- (781) 810-1240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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