Senior Care Providence, LLC
NPI #1851599021 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1851599021
- Entity Type
- Organization
- Organization Name
- Senior Care Providence, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 10, 2007
- Last Updated
- Dec 27, 2022
Practice Location
- Address
- 3720 23RD AVE S
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55407-3010
- Phone
- (612) 724-5495
Authorized Official
- Name
- NANCY SUE RICHTER
- Title
- ACCOUNTANT
- Phone
- (612) 431-7932
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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