Organization
WOODLAND CONVALESCENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-ANN ABBRUZZI (PRESIDENT/ADMINISTRATOR)
(401) 765-0499
Entity
Organization
Contact information
Practice address
70 WOODLAND RD, NORTH SMITHFIELD, RI 02896-8204
(401) 765-0499
(401) 765-1225
Mailing address
70 WOODLAND RD, NORTH SMITHFIELD, RI 02896-8204
(401) 765-0499
(401) 765-1225
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00580
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550090001
NSC
—
05
—
4105103
—
RI
01
—
412727
BLUECHIP HEALTH PLAN
RI
01
—
50742
BLUE CROSS/BLUE SHIELD
RI
Enumeration date
11/09/2005
Last updated
08/22/2020
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