NPI 1659368702 · live from the CMS NPI Registry
Haven Health Center Of Pawtucket, LLC
Skilled Nursing Facility in Pawtucket, RI. National Provider Identifier 1659368702, active.
NPI record
| NPI | 1659368702 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 4, 2005 |
| Last updated | December 28, 2007 |
| Authorized official | Paula Bloom, Director Of Ar |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 31400000X (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.