institution
Src Providence, Llc
Assisted Living Facility in Providence, Rhode Island
NPI 1447615034

Src Providence, Llc is an Assisted Living Facility based in Needham, RI. Src Providence, Llc practices in Providence, RI. The NPI Number for Src Providence, Llc is 1447615034 and holds a License No. (Rhode Island).

The current practice location address for Src Providence, Llc is 353 Blackstone Blvd, Providence, RI and can be reached out via phone at 401-273-6565.

Location: 353 Blackstone Blvd, Providence, RI, 02494-2708
institution
Provider Profile Details
NPI Number
1447615034
Provider Name
Src Providence, Llc
Credential
Provider Entity Type
Organization
Address
353 Blackstone Blvd, Providence, RI, 02494-2708
Phone Number
401-273-6565
Fax Number
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
353 Blackstone Blvd
City
State
Zip
02906-4936
Phone Number
401-273-6565
Fax Number
person
Provider Business Mailing Address Details
Address
353 Blackstone Blvd
City
State
Zip
02906-4936
Phone Number
401-273-6565
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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