NPI 1366997082

Shady Acres Operations Assoc LLC

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
Mailing address: 4770 White Plains Rd, Bronx, NY 10470

Authorised official

Name: Kenneth Rozenberg
Title: Member
Phone: (718) 931-9700

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence LTC00804 (RI)

Other Skilled Nursing Facility providers in Rhode Island →

Registry record

NPI: 1366997082
Entity type: Organization
NPI issued: 23 Aug 2016
Record last updated: 5 Oct 2016

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.