| NPI | 1992910004 |
|---|---|
| Doing Business As | CAPITOL RIDGE AT PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | GAYLE CRENSHAW Senior Paralegal 781-489-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-11-05 |