Organization
SHAKE-A-LEG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A CHARNLEY (MANAGING DIRECTOR)
(401) 849-8898
Entity
Organization
Contact information
Practice address
850 AQUIDNECK AVE, SUITE 6-A, MIDDLETOWN, RI 02842-7244
(401) 849-8898
(401) 848-9072
Mailing address
850 AQUIDNECK AVE, SUITE 6-A, MIDDLETOWN, RI 02842-7244
(401) 849-8898
(401) 848-9072
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA61623
—
RI
Enumeration date
03/23/2007
Last updated
08/22/2020
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