Organization · Type 2 NPI

SRC East Side, LLC

Assisted Living Facility · Providence, RI

NPI number 1427422906 Active

Practice location

1 Butler Ave
Providence, RI 02906-5119

Call (401) 275-0682 Map

Mailing address

63 Kendrick St
Needham, MA 02494-2708

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: 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.

3 other providers at this address

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About NPI 1427422906

SRC East Side, LLC's National Provider Identifier is 1427422906, issued on Nov 20, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Providence, RI. The record was last updated on Nov 20, 2015.