National Provider Identifier Database

SHAKE A LEG INC
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

SHAKE-A-LEG, INC.
850 AQUIDNECK AVE
SUITE 6-A
MIDDLETOWN, RI02842-7244
Phone: 401-849-8898
Fax: 401-848-9072
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for SHAKE-A-LEG, INC.

NPI Number 1538286679
Legal business name
LBN
SHAKE-A-LEG, INC.
Authorized official JAMES CHARNLEY - (MANAGING DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • RI Medicaid: SA61623

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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