SRC PROVIDENCE, 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. SRC PROVIDENCE, LLC NPI is 1447615034. The provider is registered as an organization entity type.
The provider's business location address is:
353 BLACKSTONE BLVD
PROVIDENCE, RI
ZIP 02906-936
Phone: (401) 273-6565
The provider's authorized official is Tamilyn Levin .
The authorized official title is Chief Financial Officer and has the following contact phone number (781) 707-9510.
The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/28/2015.