# SISTERS OF PROVIDENCE CARE CTRS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beaven Kelly Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790776698
- **Authorized official:** MR. CHRISTOPHER JOHN MCLAUGHLIN (COO, MERCY CONTINUING CARE NETWORK)
- **Authorized official phone:** (413) 539-2917

## Contact information

- **Practice address:** 25 BRIGHTSIDE DR, HOLYOKE, MA 01040-4033
- **Practice address phone:** (413) 532-4892
- **Practice address fax:** (413) 535-2355
- **Mailing address:** 1221 MAIN ST, CATHERINE HORAN BUILDING, SUITE 105, HOLYOKE, MA 01040-5394
- **Mailing address phone:** (413) 539-2618
- **Mailing address fax:** (413) 539-2859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 879 | MA | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 12/30/2011