KRE HUSKY PROVIDENCE LICENSEE LLC

PROVIDENCE, RI
NPI1912567744
Entity TypeOrganization
Authorized ContactTHOMAS H. GRAPE
President
781-489-7100
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2019-06-14
Last Update Date2019-06-14
Business Address
KRE HUSKY PROVIDENCE LICENSEE LLC
700 SMITH ST
PROVIDENCE, RI 02908-3500
Phone number: 401-648-0124
Mailing Address
KRE HUSKY PROVIDENCE LICENSEE LLC
201 JONES RD FL 3
WALTHAM, MA 02451-1600
Phone number: