Organization · NPI-2
Harborside Rhode Island Limited Partnership
Skilled Nursing Facility · Warwick, RI
NPI number1275540866
StatusActive
Last updated in NPPESOct 1, 2009
Details
- NPI
- 1275540866
- Entity type
- Organization (NPI-2)
- Legal business name
- Harborside Rhode Island Limited Partnership
- Organization subpart
- Yes
- Enumeration date
- Aug 3, 2006
- Last updated
- Oct 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | LTC 00710 | RI | Yes |
Other names
- Pawtuxet Village Care And Rehabilitation Center (Doing Business As)
Practice location
270 Post RdWarwick, RI 02888-1518
Phone 401-467-3555 · Fax 401-781-0380
Mailing address
101 Sun Ave NeCompliance Department
Albuquerque, NM 87109-4373
Phone 505-468-5604 · Fax 505-468-4681
Authorized official
William A Mathies
President Director
5058213355
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