Ph Providence, LLC
NPI #1851795686 in Covington, Kentucky
Provider Information
- NPI Number
- 1851795686
- Entity Type
- Organization
- Organization Name
- Ph Providence, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 22, 2014
- Last Updated
- Oct 22, 2014
Practice Location
Authorized Official
- Name
- BENJAMIN KLEIN
- Title
- MANAGER
- Phone
- (847) 329-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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