NPI 1336612357

East Bay Al Operator, LLC

Organisation Assisted Living Facility Riverside, RI

Practice location

Address: 1440 Wampanoag Trl, Riverside, RI 02915-1045
Phone: (401) 433-5000
Mailing address: 1416 Clarkview Rd, Baltimore, MD 21209-2183

Authorised official

Name: Kisha-Gay Johnson
Title: Revenue Accounting Manager
Phone: (410) 427-2669

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Rhode Island →

Registry record

NPI: 1336612357
Entity type: Organization
NPI issued: 3 Jan 2019
Record last updated: 3 Jan 2019

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.