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

SRC PROVIDENCE, LLC

Active Organization

SRC PROVIDENCE, LLC is a Assisted Living Facility organization located in PROVIDENCE, Rhode Island. NPI 1447615034 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PROVIDENCE, RI

Registration Details

NPI Number
1447615034
Provider Type
Organization
NPI Issued
Dec 23, 2015 (10.651547455967 yrs)
Last Updated
Dec 28, 2015

Practice Information

Address
353 BLACKSTONE BLVD
PROVIDENCE, RI, 029064936
Browse RI providers · Browse ZIP 02906
Phone
4012736565
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.