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SRC PROVIDENCE, LLC

353 BLACKSTONE BLVD, PROVIDENCE, RI 02906

(401) 273-6565

Assisted Living Facility

Facility Information

Facility Name
SRC PROVIDENCE, LLC
Type / Classification
Assisted Living Facility
Address
353 BLACKSTONE BLVD, PROVIDENCE, RI 02906
Phone Number
(401) 273-6565
NPI Number
1447615034
Authorized Official
TAMILYN LEVIN (Chief Financial Officer)
Enumeration Date
2015-12-23

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