Organization
333 GREEN END AVENUE OPERATIONS LLC
Active
Other names
Grand Islander Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
333 GREEN END AVE, MIDDLETOWN, RI 02842-5620
(401) 849-7100
(401) 849-6076
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00753
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083896
—
RI
Enumeration date
12/04/2007
Last updated
10/06/2025
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