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Organization
BURRILLVILLE HEALTH CENTER
Active
Organization
BURRILLVILLE HEALTH CENTER
Active
Other names
Bayberry Commons
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ARNOLD (COO)
(401) 751-3800
Entity
Organization
Contact information
Practice address
181 DAVIS DR, PASCOAG, RI 02859-3507
(401) 568-0600
(401) 568-3080
Mailing address
181 DAVIS DR, PASCOAG, RI 02859-3507
(401) 568-0600
(401) 568-3080
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
LTC00651
RI
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401581
BLUE CHIP
—
05
—
4105080
—
RI
01
—
7100105
UNITED HEALTH PLAN
—
01
—
7101152
EVERCARE
—
Enumeration date
06/10/2006
Last updated
11/08/2024
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