SRC PROVIDENCE, LLC

PROVIDENCE, RI
NPI1447615034
Entity TypeOrganization
Authorized ContactTAMILYN LEVIN
Chief Financial Officer
781-707-9510
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2015-12-23
Last Update Date2015-12-28
Business Address
SRC PROVIDENCE, LLC
353 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4936
Phone number: 401-273-6565
Mailing Address
SRC PROVIDENCE, LLC
63 KENDRICK ST
NEEDHAM, MA 02494-2708
Phone number:
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