Organization
PAWTUCKET SNF OPERATOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KAGAN (OWNER)
(410) 877-6630
Entity
Organization
Contact information
Practice address
70 GILL AVE, PAWTUCKET, RI 02861-4315
(401) 722-7900
Mailing address
70 GILL AVE, PAWTUCKET, RI 02861-4315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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