Organization
GREENWICH BAY AL OPERATOR, LLC
Active
Other names
Anchor Bay at Greenwich
Organization subpart
No
Provider details
NPI number
Authorized official
KISHA-GAY JOHNSON (REVENUE ACCOUNTING MANAGER)
(410) 427-2669
Entity
Organization
Contact information
Practice address
945 MAIN ST, EAST GREENWICH, RI 02818-3150
(401) 885-3334
Mailing address
1416 CLARKVIEW RD, BALTIMORE, MD 21209-2183
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
01/03/2019
Last updated
01/03/2019
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