100 WAMPANOAG TRAIL OPERATING COMPANY, LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

RIVERSIDE, RI

Licensed since

2013

Rate

—

Federal identifiers

NPI registry number1093057143

Agency details

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NameJEFFREY RUBIN

TitleCO-CHIEF EXECUTIVE OFFICER

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