Organization
ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND
Active
Other names
TRANSITIONAL CARE UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CONKLIN JR. (SNR. VP, CFO)
(401) 456-2525
Entity
Organization
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-3309
(401) 456-3762
Mailing address
825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00698
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105122
—
RI
01
—
LTC00698
LICENSE NUMBER
RI
Enumeration date
03/06/2007
Last updated
02/11/2014
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