SRC PROVIDENCE, LLC

Assisted Living Facility

Active Organization
NPI: 1447615034

Practice Address

353 BLACKSTONE BLVD
Providence, RI 02906

Phone: (401) 273-6565

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes -

Frequently Asked Questions

NPI 1447615034 is the National Provider Identifier for SRC PROVIDENCE, LLC, a Assisted Living Facility provider located in Providence, RI. This NPI was enumerated on December 23, 2015.

Quick Facts

NPI
1447615034
Type
Organization
Enumerated
Dec 23, 2015
Last Updated
Dec 28, 2015

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