Organization
HAVEN HEALTH CENTER OF WARREN, 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
642 METACOM AVE, WARREN, RI 02885-2350
(401) 245-2860
(401) 245-0959
Mailing address
642 METACOM AVE, WARREN, RI 02885-2350
(401) 245-2860
(401) 245-0959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00733
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HH00733
—
RI
Enumeration date
04/13/2006
Last updated
12/28/2007
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