Organization
BALLOU HOME FOR THE AGED OF WOONSOCKET RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL O NEWELL (ADMINISTRATOR)
(401) 769-0437
Entity
Organization
Contact information
Practice address
60 MENDON RD, WOONSOCKET, RI 02895-1512
(401) 769-0437
(401) 769-7481
Mailing address
60 MENDON RD, WOONSOCKET, RI 02895-1512
(401) 769-0437
(401) 769-7481
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
525
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105094
—
RI
Enumeration date
08/31/2005
Last updated
02/06/2008
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