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1912567744
KRE HUSKY PROVIDENCE LICENSEE LLC
PROVIDENCE, RI
NPI
1912567744
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Entity Type
Organization
Authorized Contact
THOMAS H. GRAPE
President
781-489-7100
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
KRE HUSKY PROVIDENCE LICENSEE LLC
700 SMITH ST
PROVIDENCE, RI 02908-3500
Phone number: 401-648-0124
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Mailing Address
KRE HUSKY PROVIDENCE LICENSEE LLC
201 JONES RD FL 3
WALTHAM, MA 02451-1600
Phone number:
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