Organization
INNOVATIVE SENIOR CARE HOME HEALTH OF RHODE ISLAND LLC
Active
Other names
Brookdale Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1215 MAIN RD, TIVERTON, RI 02878-4246
(844) 325-2702
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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