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Organization
HAVEN HEALTH CENTER OF PAWTUCKET, LLC
Active
Organization
HAVEN HEALTH CENTER OF PAWTUCKET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BLOOM (DIRECTOR OF AR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
70 GILL AVE, PAWTUCKET, RI 02861-4315
(401) 722-7900
Mailing address
70 GILL AVE, PAWTUCKET, RI 02861-4315
(401) 722-7900
(401) 723-9670
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31400000X
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HH513377
—
RI
Enumeration date
10/04/2005
Last updated
12/28/2007
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