Organization
SCALLOP SHELL NURSING & REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL E. MAHONEY (ADMINISTRATOR)
(401) 789-3006
Entity
Organization
Contact information
Practice address
981 KINGSTOWN RD, PEACE DALE, RI 02879-3042
(401) 789-3006
(401) 789-3562
Mailing address
981 KINGSTOWN RD, PEACE DALE, RI 02879-3042
(401) 789-3006
(401) 789-3562
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00352
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105057
—
RI
Enumeration date
08/12/2005
Last updated
08/22/2020
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