Healthcare Provider Details

I. General information

NPI: 1396792503
Provider Name (Legal Business Name): ALLENS HEALTH CENTRE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 S COUNTY TRL
WEST KINGSTON RI
02892-1634
US

IV. Provider business mailing address

PO BOX 307 2115 SOUTH COUNTY TRAIL
WEST KINGSTON RI
02892-0307
US

V. Phone/Fax

Practice location:
  • Phone: 401-783-8568
  • Fax: 401-792-8930
Mailing address:
  • Phone: 401-783-8568
  • Fax: 401-792-8930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberLTC00720
License Number StateRI

VIII. Authorized Official

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