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Organization
ORCHARD VIEW MANOR , INC
Active
Organization
ORCHARD VIEW MANOR , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO J. BISBANO JR. (ADMINISTRATOR)
(401) 438-2250
Entity
Organization
Contact information
Practice address
135 TRIPPS LN, EAST PROVIDENCE, RI 02915-3017
(401) 438-2250
(401) 438-0635
Mailing address
135 TRIPPS LN, EAST PROVIDENCE, RI 02915-3017
(401) 438-2250
(401) 438-0635
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00675
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401096
BLUE CHIP
RI
05
—
41-05059
—
RI
01
—
5064
BLUE CROSS
RI
01
—
71-00111
UNITED HEALTHCARE
RI
01
—
71-01086
EVERCARE
RI
Enumeration date
07/12/2005
Last updated
07/19/2010
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