Whalio Doctors

NPI 1346234135

Shady Acres, INC.

Organisation Skilled Nursing Facility West Kingston, RI

Practice location

Address
415 Gardner Rd, West Kingston, RI 02892-1047
Phone
(401) 295-8520
Fax
(401) 294-1050

Authorised official

Name
Charles William Miga
Title
President/Administrator
Phone
(401) 295-8540

Registered specialties (2)

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 608 (RI)
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 608 (RI)

Registry record

NPI
1346234135
Entity type
Organization
NPI issued
7 Sep 2005
Record last updated
10 Sep 2014

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.