Organization
FLORA LEDGE LLC
Active
Other names
DBA Woodpecker Hill Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. COUTURE (OWNER)
(401) 397-7504
Entity
Organization
Contact information
Practice address
2052 PLAINFIELD PIKE, CPU SUMMIT GENERAL STORE, RI 02827-1908
(401) 397-7504
(401) 397-2514
Mailing address
2052 PLAINFIELD PIKE, CPU SUMMIT GENERAL STORE, RI 02827-1908
(401) 397-7504
(401) 397-2514
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00726
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105839
—
RI
Enumeration date
09/20/2006
Last updated
08/22/2020
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