CHARLESGATE SENIOR LIVING CENTER NPI 1952814311

NPI Information

CHARLESGATE SENIOR LIVING CENTER 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. CHARLESGATE SENIOR LIVING CENTER NPI is 1952814311. The provider is registered as an organization entity type.

The provider's business location address is:

670 N MAIN ST
PROVIDENCE, RI
ZIP 02904
Phone: (401) 453-9317
Fax: (401) 453-9323

The provider's authorized official is Karen L Lally .
The authorized official title is President And Cfo and has the following contact phone number (401) 453-9331.

The CLIA number assigned to this NPI record is 41D2257543 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 7/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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