Organization
SPRING VILLA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PIANKA (VICE PRES)
(401) 226-7032
Entity
Organization
Contact information
Practice address
59 PLEASANT ST, WEST WARWICK, RI 02893-5630
(401) 615-2888
Mailing address
59 PLEASANT ST, WEST WARWICK, RI 02893-5630
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALR01487
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID WAIVER
—
RI
Enumeration date
01/31/2014
Last updated
01/31/2014
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