institution
Src Blackstone Op, Llc
Assisted Living Facility in Providence, Rhode Island
NPI 1588200166

Src Blackstone Op, Llc is an Assisted Living Facility based in Needham, RI. Src Blackstone Op, Llc practices in Providence, RI. The NPI Number for Src Blackstone Op, Llc is 1588200166 and holds a License No. (Rhode Island).

The current practice location address for Src Blackstone Op, Llc is 353 Blackstone Blvd, Providence, RI and can be reached out via phone at 401-273-6565 and via fax at 401-273-6568. You can also correspond with Src Blackstone Op, Llc through the mailing address at C/O WINGATE HEALTHCARE, INC., NEEDHAM, MA - 02494 (mailing address contact number: 781-707-9000).

Location: 353 Blackstone Blvd, Providence, RI, 02494
institution
Provider Profile Details
NPI Number
1588200166
Provider Name
Src Blackstone Op, Llc
Credential
Provider Entity Type
Organization
Address
353 Blackstone Blvd, Providence, RI, 02494
Phone Number
401-273-6565
Fax Number
401-273-6568
Provider Enumeration Date
11/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
353 Blackstone Blvd
City
State
Zip
02906-4936
Phone Number
401-273-6565
Fax Number
401-273-6568
person
Provider Business Mailing Address Details
Address
C/O Wingate Healthcare, Inc.
City
State
Zip
02494
Phone Number
781-707-9000
Fax Number
781-281-8827
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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