Healthcare Provider Details

I. General information

NPI: 1548212525
Provider Name (Legal Business Name): MT SAINT FRANCIS ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SAINT JOSEPH ST
WOONSOCKET RI
02895-5416
US

IV. Provider business mailing address

4 SAINT JOSEPH ST
WOONSOCKET RI
02895-5416
US

V. Phone/Fax

Practice location:
  • Phone: 401-765-5844
  • Fax: 401-765-1026
Mailing address:
  • Phone: 401-765-5844
  • Fax: 401-765-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number00650
License Number StateRI

VIII. Authorized Official

Name: MS. JEANNE M FRAPPIER
Title or Position: BUSINESS MANAGER
Credential:
Phone: 401-765-5844