SRC BLACKSTONE OP, LLC

Assisted Living Facility

Active Organization
NPI: 1588200166

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 1588200166 is the National Provider Identifier for SRC BLACKSTONE OP, LLC, a Assisted Living Facility provider located in Providence, RI. This NPI was enumerated on November 19, 2019.

Quick Facts

NPI
1588200166
Type
Organization
Enumerated
Nov 19, 2019
Last Updated
Nov 19, 2019

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