PROVIDENT CARE RESIDENTIAL HOME LLC

Assisted Living Facility

Active Organization
NPI: 1578150397

Practice Address

4170 MUTTER RD
Saint Cloud, FL 34769

Phone: (407) 556-3406

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes -

Frequently Asked Questions

NPI 1578150397 is the National Provider Identifier for PROVIDENT CARE RESIDENTIAL HOME LLC, a Assisted Living Facility provider located in Saint Cloud, FL. This NPI was enumerated on December 28, 2020.

Quick Facts

NPI
1578150397
Type
Organization
Enumerated
Dec 28, 2020
Last Updated
Dec 28, 2020

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