NPI 1093057143

100 Wampanoag Trail Operating Company, LLC

Organisation Skilled Nursing Facility Riverside, RI

Practice location

Address: 100 Wampanoag Trl, Riverside, RI 02915-3736
Phone: (401) 438-4275
Fax: (401) 438-8093
Mailing address: 500 Seneca St STE 100, Buffalo, NY 14204-1963

Authorised official

Name: Jeffrey Rubin
Title: Co-Chief Executive Officer
Phone: (716) 817-5075

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Rhode Island →

Registry record

NPI: 1093057143
Entity type: Organization
NPI issued: 26 Mar 2013
Record last updated: 19 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.