10 Woodland Drive Operations LLC
NPI #1912158528 in Coventry, Rhode Island
Provider Information
- NPI Number
- 1912158528
- Entity Type
- Organization
- Organization Name
- 10 Woodland Drive Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 2, 2008
- Last Updated
- Nov 14, 2018
Practice Location
- Address
- 10 WOODLAND DR
- City
- Coventry
- State
- Rhode Island
- ZIP Code
- 02816-6716
- Phone
- (401) 826-2000
Authorized Official
- Name
- MICHAEL T BERG
- Title
- ASST SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| Mikaela Esau, OTR/L | |
| Tracy Zegarzewski |
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| Coventry Operations Ri LLC | |
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