Organization
HAVEN HEALTH CENTER OF PAWTUCKET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BLOOM (DIRECTOR OF AR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
70 GILL AVE, PAWTUCKET, RI 02861-4315
(401) 722-7900
Mailing address
70 GILL AVE, PAWTUCKET, RI 02861-4315
(401) 722-7900
(401) 723-9670
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31400000X
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HH513377
—
RI
Enumeration date
10/04/2005
Last updated
12/28/2007
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