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

SRC BLACKSTONE OP, LLC

Active Organization

SRC BLACKSTONE OP, LLC is a Assisted Living Facility organization located in PROVIDENCE, Rhode Island. NPI 1588200166 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PROVIDENCE, RI

Registration Details

NPI Number
1588200166
Provider Type
Organization
NPI Issued
Nov 19, 2019 (6.7648019817049 yrs)
Last Updated
Nov 19, 2019

Practice Information

Address
353 BLACKSTONE BLVD
PROVIDENCE, RI, 029064936
Browse RI providers · Browse ZIP 02906
Phone
4012736565
Fax
4012736568
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.