Organization
TOCKWOTTON HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MCKAY (EXECUTIVE DIRECTOR)
(401) 272-5280
Entity
Organization
Contact information
Practice address
500 WATERFRONT DRIVE, EAST PROVIDENCE, RI 02914-5047
(401) 272-5280
(401) 421-0550
Mailing address
500 WATERFRONT DRIVE, EAST PROVIDENCE, RI 02914-5047
(401) 272-5280
(401) 421-0550
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALR01360
RI
314000000X
Skilled Nursing Facility
4105113
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105113
—
RI
Enumeration date
03/28/2007
Last updated
04/16/2015
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