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NPI 1033704721 · live from the CMS NPI Registry

Berkshire Place Snf LLC

Skilled Nursing Facility in Providence, RI. National Provider Identifier 1033704721, active.

NPI record

NPI1033704721 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location455 Douglas Ave, Providence, RI 02908
Practice phone347-254-4338
EnumeratedMarch 4, 2021
Last updatedMarch 4, 2021
Authorized officialAharon Stern, Member

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.