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Organization
100 WAMPANOAG TRAIL OPERATING COMPANY, LLC
Active
Organization
100 WAMPANOAG TRAIL OPERATING COMPANY, LLC
Active
Other names
Elderwood at Riverside
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RUBIN (CO-CHIEF EXECUTIVE OFFICER)
(716) 817-5075
Entity
Organization
Contact information
Practice address
100 WAMPANOAG TRL, RIVERSIDE, RI 02915-3736
(401) 438-4275
(401) 438-8093
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 633-3900
(646) 924-0502
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
01/19/2023
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