- Enrollment id
- O20071217000370
- Enrollment state
- RI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1316064140
- Multiple npi flag
- N
- Ccn
- 415097
- Associate id
- 6901996768
- Organization name
- MANSION, INC
- Doing business as name
- MANSION NURSING AND REHABILITATION CENTER
- Incorporation date
- 1971-01-01
- Incorporation state
- RI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- MANSION NURSING AND REHAB CENTER
- Address line 1
- 104 CLAY STREET
- City
- CENTRAL FALLS
- State
- RI
- Zip code
- 028633023