Organization · Type 2 NPI

Theodore J Hardgrove

Skilled Nursing Facility · Providence, RI

NPI number 1174986608 Active

Practice location

174 Woodward Rd
Providence, RI 02904-1720

Call (401) 749-7088 Map

Mailing address

174 Woodward Road
Providence, RI 02904

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X1024143 (MA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1174986608

Theodore J Hardgrove's National Provider Identifier is 1174986608, issued on Apr 1, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Providence, RI. The record was last updated on Apr 1, 2016.