Providence City, LLC

NPI #1891911145 in Providence, Utah

Provider Information

NPI Number
1891911145
Entity Type
Organization
Organization Name
Providence City, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 17, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
233 N MAIN ST
State
Utah
ZIP Code
84332-9622
Phone
(435) 792-4770

Authorized Official

Name
JON HARDER
Title
MANAGER
Phone
(503) 485-4600

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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