SRC EAST SIDE, LLC

Assisted Living Facility

Active Organization
NPI: 1427422906

Practice Address

1 BUTLER AVE
Providence, RI 02906

Phone: (401) 275-0682

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes -

Frequently Asked Questions

NPI 1427422906 is the National Provider Identifier for SRC EAST SIDE, LLC, a Assisted Living Facility provider located in Providence, RI. This NPI was enumerated on November 20, 2015.

Quick Facts

NPI
1427422906
Type
Organization
Enumerated
Nov 20, 2015
Last Updated
Nov 20, 2015

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