100 Wampanoag Trail Operating Company, Llc

NPI 1093057143 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1093057143
Enumeration Date 03/26/2013
Last Updated 03/02/2016
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GREGORY B GREGORY
Position CHIEF COMPLIANCE OFFICER
Phone (401) 438-4275
Fax (401) 438-8093
Practice Location
100 WAMPANOAG TRL
RIVERSIDE RI, 02915-3736, US
Phone (401) 438-4275
Fax (401) 438-8093
Business Location
641 LEXINGTON AVE
31ST FLOOR
NEW YORK NY, 10022-4503, US
Phone (212) 802-7609
Fax (646) 924-0502
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, 100 Wampanoag Trail Operating Company, Llc NPI is 1093057143, taxonomy code is 314000000X 100 Wampanoag Trail Operating Company, Llc physically located at 100 Wampanoag Trl, Riverside RI, 02915-3736. NPI Number 1033115704 has the healthcare provider type.

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1093057143 NPI number is provided on an as is basis without warranty of any kind. 1093057143 is maintained by the National Plan & Provider Enumeration System. The contents of 100 Wampanoag Trail Operating Company, Llc are for informational purposes only.