NPI 1184875791 · live from the CMS NPI Registry
70 Gill Avenue Operations LLC
Skilled Nursing Facility in Pawtucket, RI. National Provider Identifier 1184875791, active.
NPI record
| NPI | 1184875791 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 70 Gill Ave, Pawtucket, RI 02861 |
| Practice phone | 401-722-7900 |
| Enumerated | October 2, 2008 |
| Last updated | July 23, 2020 |
| Authorized official | Michael Berg, Corporate Officer |
| Other names | Pawtucket Skilled Nursing And Rehabilitation |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | LTC00736 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.