Pocasset Bay Al Operator, LLC
NPI #1811460835 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1811460835
- Entity Type
- Organization
- Organization Name
- Pocasset Bay Al Operator, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 3, 2019
- Last Updated
- Jan 3, 2019
Practice Location
- Address
- 12 OLD POCASSET LN
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-3138
- Phone
- (401) 421-6610
Authorized Official
- Name
- KISHA-GAY JOHNSON
- Title
- REVENUE ACCOUNTING MANAGER
- Phone
- (410) 427-2669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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