Middletown Opco LLC
NPI #1912605536 in Middletown, Rhode Island
Provider Information
- NPI Number
- 1912605536
- Entity Type
- Organization
- Organization Name
- Middletown Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 22, 2023
- Last Updated
- Feb 22, 2023
Practice Location
- Address
- 193 FOREST AVE
- City
- Middletown
- State
- Rhode Island
- ZIP Code
- 02842-4625
- Phone
- (401) 847-2777
Authorized Official
- Name
- ELI ROBERTS
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (929) 645-0150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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