Organization
MSA SMITHFIELD OPERATING, LLC
Active
Other names
MSA Smithfield Operating, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY J VAUGHN (REIMBURSEMENT ANALYST)
(240) 882-9712
Entity
Organization
Contact information
Practice address
171 PLEASANT VIEW AVE, SMITHFIELD, RI 02917-1792
(401) 232-5577
(401) 232-0225
Mailing address
171 PLEASANT VIEW AVE, SMITHFIELD, RI 02917-1792
(401) 232-5577
(401) 232-0225
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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