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Organization
CPL (SOUTH COUNTY) LLC
Active
Organization
CPL (SOUTH COUNTY) LLC
Active
Parent organization
NEW JERSEY CPL HOLDINGS LLC
Other names
South County Rehabilitation and Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW JERSEY CPL HOLDINGS LLC
Authorized official
CAROLE M SCILLIA (LLC MANAGER)
(203) 608-6100
Entity
Organization
Contact information
Practice address
740 OAK HILL ROAD, NORTH KINGSTOWN, RI 02852-7205
(401) 294-4545
(401) 295-7650
Mailing address
538 PRESTON AVENUE, SUITE 270, MERIDEN, CT 06450-4851
(203) 608-6100
(203) 639-3574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
LTC00678
RI
314000000X
Skilled Nursing Facility
LTC00746
RI
314000000X
Skilled Nursing Facility
Primary
LTS00746
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401028
RI BLUE CHIP
RI
05
—
4105071
—
RI
01
—
5044-3
BC & BS OF RI
RI
01
—
7100217
UNITED HEALTH CARE
RI
05
—
CP66176
—
RI
Enumeration date
04/04/2007
Last updated
08/15/2011
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