Providence Operator LLC
NPI #1043722960 in Lansdowne, Pennsylvania
Provider Information
- NPI Number
- 1043722960
- Entity Type
- Organization
- Organization Name
- Providence Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 1, 2017
- Last Updated
- Apr 3, 2024
Practice Location
- Address
- 600 S WYCOMBE AVE
- City
- Lansdowne
- State
- Pennsylvania
- ZIP Code
- 19050-2835
- Phone
- (610) 626-8065
Authorized Official
- Name
- MINDEE DRILLMAN, CPA
- Title
- CONTROLLER
- Phone
- (732) 903-1958
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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