Organization
HAVEN HEALTH CENTER OF GREENVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BLOOM (DIRECTOR OF AR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
735 PUTNAM PIKE, GREENVILLE, RI 02828-1435
(401) 949-1200
(401) 949-1204
Mailing address
735 PUTNAM PIKE, GREENVILLE, RI 02828-1435
(401) 949-1200
(401) 949-1204
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC00734
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HH00734
—
RI
Enumeration date
04/18/2006
Last updated
12/28/2007
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