Organization
735 PUTNAM PIKE OPERATIONS LLC
Active
Other names
Greenville Skilled Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
735 PUTNAM PIKE, GREENVILLE, RI 02828-1435
(401) 949-1200
(401) 949-0968
Mailing address
735 PUTNAM PIKE, GREENVILLE, RI 02828-1435
(401) 949-1200
(401) 949-0968
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00734
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PP75164
—
RI
Enumeration date
10/02/2008
Last updated
05/27/2024
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