Healthcare Provider Details
I. General information
NPI: 1033413000
Provider Name (Legal Business Name): SAVA SENIORCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2011
Last Update Date: 04/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 GREEN END AVE
MIDDLETOWN RI
02842-5620
US
IV. Provider business mailing address
44 MARITIME DR
MYSTIC CT
06355-1958
US
V. Phone/Fax
- Phone: 401-849-7100
- Fax:
- Phone: 860-572-1700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHAINA
MCGINITY
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S. CCC-SLP
Phone: 860-572-1700