South Bay Manor

NPI #1881840932 in South Kingstown, Rhode Island

Provider Information

NPI Number
1881840932
Entity Type
Organization
Organization Name
South Bay Manor
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 8, 2008
Last Updated
Jun 3, 2015

Practice Location

Address
1959 KINGSTOWN ROAD
Address 2
SOUTH BAY RETIREMENT LIVING
ZIP Code
02879-1608
Phone
(401) 789-5880

Authorized Official

Name
MARK OHLENDORF
Title
CHIEF FINANCIAL OFFICER (CFO)
Phone
(414) 918-5403

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility
Assisted Living Facility

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