Organization
SONS OF DIVINE PROVIDENCE INC
Active
Other names
Don Orione Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN SAWICKI (ADMINISTRATOR)
(617) 569-2100
Entity
Organization
Contact information
Practice address
111 ORIENT AVE, EAST BOSTON, MA 02128-1006
(617) 569-2100
(617) 561-1138
Mailing address
111 ORIENT AVE, EAST BOSTON, MA 02128-1006
(617) 569-2100
(617) 561-1138
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0999555
—
MA
Enumeration date
09/27/2005
Last updated
01/24/2008
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