Healthcare Provider Details

I. General information

NPI: 1033151345
Provider Name (Legal Business Name): RYAN HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MORGAN AVE
JOHNSTON RI
02919
US

IV. Provider business mailing address

588 PAWTUCKET AVE
PAWTUCKET RI
02860-6057
US

V. Phone/Fax

Practice location:
  • Phone: 401-944-7800
  • Fax: 401-944-6037
Mailing address:
  • Phone: 401-751-3800
  • Fax: 401-751-6350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number622
License Number StateRI

VIII. Authorized Official

Name: KELLY ARNOLD
Title or Position: COO
Credential:
Phone: 401-751-3800