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General NPI Number Information
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NPI Number | 1790783116
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Entity Type | Organization
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Legal Business Name | RIVERVIEW NURSING HOME. INC.
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Dates
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Enumeration Date | 07/10/2005
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 546 MAIN ST
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City | COVENTRY
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State | RI
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Zip | 02816-7852
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Country | US
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Telephone | 401-821-6837
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Fax | 401-823-9840
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Provider Business Mailing Address
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Address Line | 588 PAWTUCKET AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-6057
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Country | US
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Telephone | 401-751-3800
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Fax | 401-751-6350
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Authorized Official
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Title or Position | COO
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Name | KELLY ARNOLD
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Credential |
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Telephone | 401-751-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 579
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 579
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License Number State | RI
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