Providence Villa

NPI #1003305723 in Sebeka, Minnesota

Provider Information

NPI Number
1003305723
Entity Type
Organization
Organization Name
Providence Villa
Primary Specialty
Assisted Living Facility
Enumeration Date
May 8, 2018
Last Updated
Jan 16, 2019

Practice Location

Address
200 MINNESOTA AVE E
City
Sebeka
ZIP Code
56477-5002
Phone
(218) 837-9162

Authorized Official

Name
MR. ANDREW CHARLES HUHTA
Title
OWNER
Phone
(218) 837-9162

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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