<Unavail>
LBN: Providence Living Llc
<Unavail> is an health care organization with primary practice located at 896 Beacon St Ste A , Boston MA 02215-3033. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Providence Living Llc can be contacted via phone (617) 314-7544, or through Lau, Dung Gabe via phone (617) 314-7544.
Contact Information
Primary practice address
896 Beacon St Ste A
Boston MA 02215-3033
Phone: (617) 314-7544
Fax: (888) 373-9844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1942920459 |
|---|---|
| LBN Legal business name | Providence Living Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Lau, Dung Gabe PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 2nd, 2022 |
| Last updated | Aug 21st, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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