Organization · Type 2 NPI

Modupe

Nursing Facility/Intermediate Care Facility · North Providence, RI

NPI number 1235676289 Active

Practice location

1 Kristen Dr
North Providence, RI 02911-2932

Mailing address

1 Kristen Drive
North Providence, RI 02911-2932

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XRN42505 (RI)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

Another provider at this address

About NPI 1235676289

Modupe's National Provider Identifier is 1235676289, issued on Jan 30, 2017. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in North Providence, RI. The record was last updated on Jan 30, 2017.