# EAST PROVIDENCE SENIOR CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DSMT at East Providence Senior Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164829024
- **Authorized official:** MR. ROBERT ROCK (DIRECTOR)
- **Authorized official phone:** (401) 435-7800

## Contact information

- **Practice address:** 610 WATERMAN AVE, EAST PROVIDENCE, RI 02914-2427
- **Practice address phone:** (401) 435-7800
- **Practice address fax:** (401) 435-7803
- **Mailing address:** 610 WATERMAN AVE, EAST PROVIDENCE, RI 02914-2427
- **Mailing address phone:** (401) 435-7800
- **Mailing address fax:** (401) 435-7803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2014
- **Last updated:** 11/20/2014