Charlesgate Nursing Center
NPI #1881684736 in Providence, Rhode Island
Provider Information
- NPI Number
- 1881684736
- Entity Type
- Organization
- Organization Name
- Charlesgate Nursing Center
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 24, 2005
- Last Updated
- Apr 10, 2008
Practice Location
- Address
- 100 RANDALL ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02904-2723
- Phone
- (401) 861-5858
Authorized Official
- Name
- MISS LUCILLE MASSEMINO, RN,NHA
- Title
- ADMINISTRATOR
- Phone
- (401) 861-5858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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