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1588200166
SRC BLACKSTONE OP, LLC
PROVIDENCE, RI
NPI
1588200166
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Entity Type
Organization
Authorized Contact
JONATHAN SCHARF
General Counsel
781-707-9030
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
SRC BLACKSTONE OP, LLC
353 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4936
Phone number: 401-273-6565
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Mailing Address
SRC BLACKSTONE OP, LLC
C/O WINGATE HEALTHCARE, INC. 63 KENDRICK STREET
NEEDHAM, MA 02494
Phone number: 781-707-9000
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