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Organization
735 PUTNAM PIKE OPERATIONS LLC
Active
Organization
735 PUTNAM PIKE OPERATIONS LLC
Active
Other names
Greenville Skilled Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
735 PUTNAM PIKE, GREENVILLE, RI 02828-1435
(401) 949-1200
(401) 949-0968
Mailing address
735 PUTNAM PIKE, GREENVILLE, RI 02828-1435
(401) 949-1200
(401) 949-0968
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00734
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PP75164
—
RI
Enumeration date
10/02/2008
Last updated
05/27/2024
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