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Organization
BETHANY HOME OF RHODE ISLAND
Active
Organization
BETHANY HOME OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHRISTIAN WILSON (CFO)
(401) 831-2870
Entity
Organization
Contact information
Practice address
111 SOUTH ANGELL STREET, PROVIDENCE, RI 02906-5397
(401) 831-2870
(401) 331-9570
Mailing address
111 SOUTH ANGELL STREET, PROVIDENCE, RI 02906-5397
(401) 831-2870
(401) 331-9570
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00531
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105096
—
RI
Enumeration date
10/05/2005
Last updated
07/01/2022
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