NPI 1659651560

Sh Opco East Bay Manor LLC

Organisation Assisted Living Facility Riverside, RI

Practice location

Address: 1440 Wampanoag Trl, Riverside, RI 02915-1045
Phone: (401) 433-5000
Fax: (401) 433-4541

Authorised official

Name: Mark W Ohlendorf
Title: Assistant Secretary
Phone: (414) 918-5000

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Rhode Island →

Registry record

NPI: 1659651560
Entity type: Organization
NPI issued: 23 Aug 2011
Record last updated: 23 Aug 2011

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.