Organization
POCASSET LP
Active
Other names
Pocasset Bay Retirement Living
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (CHIEF FINANCIAL OFFICER (CFO))
(414) 918-5403
Entity
Organization
Contact information
Practice address
12 OLD POCASSET LANE, POCASSET RETIREMENT LIVING, JOHNSTON, RI 02919
(401) 421-6610
(401) 421-0074
Mailing address
6737 W WASHINGTON ST, SUITE 2300,, MILWAUKEE, WI 53214
(401) 421-6610
(401) 421-0074
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1440
RI
310400000X
Assisted Living Facility
Primary
ALR01478
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PB54850
—
RI
Enumeration date
03/12/2007
Last updated
06/03/2015
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