Healthcare Provider Details

I. General information

NPI: 1356306757
Provider Name (Legal Business Name): OAKLAND GROVE ASSOCIATES LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 CUMBERLAND HILL RD
WOONSOCKET RI
02895-5635
US

IV. Provider business mailing address

560 CUMBERLAND HILL RD
WOONSOCKET RI
02895-5635
US

V. Phone/Fax

Practice location:
  • Phone: 401-769-0800
  • Fax: 401-766-3661
Mailing address:
  • Phone: 401-769-0800
  • Fax: 401-766-3661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberLTC00718
License Number StateRI

VIII. Authorized Official

Name: LAWRENCE G. SANTILLI
Title or Position: SOLE MANAGER
Credential:
Phone: 860-751-3900