KRE HUSKY PROVIDENCE LICENSEE LLC is an assisted living facility in Providence, RI. The provider is 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. KRE HUSKY PROVIDENCE LICENSEE LLC NPI is 1912567744. The provider is registered as an organization entity type.
The provider's business location address is:
700 SMITH ST
PROVIDENCE, RI
ZIP 02908-500
Phone: (401) 648-0124
The provider's authorized official is Thomas H. Grape .
The authorized official title is President and has the following contact phone number (781) 489-7100.
The CLIA number assigned to this NPI record is 41D2203831 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/14/2019 and was last updated on 6/14/2019.