Organization
EASTGATE NURSING AND RECOVERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA A AMARAL (VICE PRESIDENT/ ADMINISTRATOR)
(401) 431-2087
Entity
Organization
Contact information
Practice address
198 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3523
(401) 431-2087
(401) 435-6465
Mailing address
198 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3523
(401) 431-2087
(401) 435-6465
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00659
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402843
BLUE CHIP
RI
05
—
4105083
—
RI
01
—
5093
BLUE CROSS
RI
01
—
7100042
UNITED HEALTH
RI
Enumeration date
11/28/2005
Last updated
11/13/2007
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