Sons of Divine Providence INC
NPI #1861488686 in East Boston, Massachusetts
Provider Information
- NPI Number
- 1861488686
- Entity Type
- Organization
- Organization Name
- Sons of Divine Providence INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 27, 2005
- Last Updated
- Jan 24, 2008
Practice Location
- Address
- 111 ORIENT AVE
- City
- East Boston
- State
- Massachusetts
- ZIP Code
- 02128-1006
- Phone
- (617) 569-2100
Authorized Official
- Name
- MR. STAN SAWICKI
- Title
- ADMINISTRATOR
- Phone
- (617) 569-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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