Organization
HAVEN HEALTH CENTER OF COVENTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA BLOOM (DIRECTOR OF AR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
10 WOODLAND DR, COVENTRY, RI 02816-6716
(401) 826-2000
Mailing address
10 WOODLAND DR, COVENTRY, RI 02816-6716
(401) 826-2000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
HH00732
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HH00732
—
RI
Enumeration date
02/09/2006
Last updated
12/28/2007
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