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Organization
PEZZELLI NURSING HOME, INC
Active
Organization
PEZZELLI NURSING HOME, INC
Active
Other names
GOLDEN CREST NURSING CENTRE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M PEZZELLI NHA (ADMINISTRATOR)
(401) 353-1710
Entity
Organization
Contact information
Practice address
100 SMITHFIELD RD, NORTH PROVIDENCE, RI 02904-5311
(401) 353-1710
(401) 353-1618
Mailing address
100 SMITHFIELD RD, NORTH PROVIDENCE, RI 02904-5311
(401) 353-1710
(401) 353-1618
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
543
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543
—
ID
Enumeration date
09/22/2005
Last updated
08/22/2020
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