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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SRC EAST SIDE, LLC

Active Organization

SRC EAST SIDE, LLC is a Assisted Living Facility organization located in PROVIDENCE, Rhode Island. NPI 1427422906 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PROVIDENCE, RI

Registration Details

NPI Number
1427422906
Provider Type
Organization
NPI Issued
Nov 20, 2015 (10.545559618116 yrs)
Last Updated
Nov 20, 2015

Practice Information

Address
1 BUTLER AVE
PROVIDENCE, RI, 029065119
Browse RI providers · Browse ZIP 02906
Phone
4012750682
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Organizations in PROVIDENCE, RI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.