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General NPI Number Information
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NPI Number | 1811038276
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Entity Type | Organization
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Legal Business Name | SAINT ANTOINE RESIDENCE
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 10 RHODES AVE
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-6987
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Country | US
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Telephone | 401-767-3500
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Fax | 401-769-5249
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Provider Business Mailing Address
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Address Line | 10 RHODES AVE
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-6987
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Country | US
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Telephone | 401-767-3500
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Fax | 401-769-5249
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GARRETT SULLIVAN
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Credential |
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Telephone | 401-767-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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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 | 00001
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License Number State | RI
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