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NPI Code Detail

MEDICARE: SOUTH COUNTY NURSING AND REHABILITATION CENTER

MEDICARE: SOUTH COUNTY NURSING AND REHABILITATION CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care FacilityLTC678RI

General Provider Information

NPI Number : 1437155546
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH COUNTY NURSING AND REHABILITATION CENTER
Provider Business Mailing Address
First Line : 740 OAK HILL RD
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-7205
Country : US
Telephone Number : 401-294-4545
Fax Number : 401-295-7650
Provider Business Practice Location Address
First Line : 740 OAK HILL RD
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-7205
Country : US
Telephone Number : 401-294-4545
Fax Number : 401-295-7650
Authorized Official
Title or Position : ADMINISTRATOR
Name : JENNIFER FAIRBANK
Credential :
Telephone Number : 401-294-4545
Provider Enumeration Date : 06/23/2005
Last Update Date : 11/06/2007

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Directions to “SOUTH COUNTY NURSING AND REHABILITATION CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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