Providence Health Care Services
NPI #1457047037 in Blaine, Minnesota
Provider Information
- NPI Number
- 1457047037
- Entity Type
- Organization
- Organization Name
- Providence Health Care Services
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 17, 2023
- Last Updated
- May 30, 2025
Practice Location
Authorized Official
- Name
- JARED KENYANYA, RN
- Title
- CEO
- Phone
- (612) 456-2773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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