Organization
BANNISTER OPERATIONS ASSOC LLC
Active
Other names
Bannister Center for Rehabilitation and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHON HAGLER (MEMBER)
(718) 931-9700
Entity
Organization
Contact information
Practice address
135 DODGE ST, STREET, PROVIDENCE, RI 02907-2210
(401) 521-9600
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1104
(718) 931-9700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105038
—
RI
01
—
5005-0
BLUE CROSS
RI
Enumeration date
07/10/2015
Last updated
08/11/2016
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