Organization
THE WILLOWS, AN ASSISTED LIVING AND ADULT DAY CARE COMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CHRISTOPHER LESCAULT AS,BS,MBA,ADM,ALA (PRESIDENT)
(401) 245-2323
Entity
Organization
Contact information
Practice address
47 BARKER AVE, WARREN, RI 02885-2027
(401) 245-2323
(401) 247-9030
Mailing address
47 BARKER AVE, WARREN, RI 02885-2027
(401) 245-2323
(401) 247-9030
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
11
RI
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
01383
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TW25654
—
RI
05
—
TW40442
—
RI
Enumeration date
03/30/2007
Last updated
06/30/2022
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