Organization
SISTERS OF PROVIDENCE CARE CTRS INC
Active
Other names
Beaven Kelly Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JOHN MCLAUGHLIN (COO, MERCY CONTINUING CARE NETWORK)
(413) 539-2917
Entity
Organization
Contact information
Practice address
25 BRIGHTSIDE DR, HOLYOKE, MA 01040-4033
(413) 532-4892
(413) 535-2355
Mailing address
1221 MAIN ST, CATHERINE HORAN BUILDING, SUITE 105, HOLYOKE, MA 01040-5394
(413) 539-2618
(413) 539-2859
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
879
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5508304
—
MA
Enumeration date
10/31/2005
Last updated
12/30/2011
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