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Organization
PROVIDENTIAL CORP
Active
Organization
PROVIDENTIAL CORP
Active
Other names
Sudbury River Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO LOPEZ (MANAGING DIRECTOR)
(617) 828-0639
Entity
Organization
Contact information
Practice address
1504 CONCORD ST STE B, FRAMINGHAM, MA 01701-7779
(508) 626-1944
(508) 626-1933
Mailing address
1504 CONCORD ST STE B, FRAMINGHAM, MA 01701-7779
(508) 626-1944
(508) 626-1933
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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