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Organization
PROVIDENCE OPCO, LLC
Active
Organization
PROVIDENCE OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART LINDEMAN (AUTHORIZED OFFICIAL)
(785) 233-0588
Entity
Organization
Contact information
Practice address
1112 SE REPUBLICAN AVE, TOPEKA, KS 66607-1614
(785) 233-0588
Mailing address
302 KNIGHTS RUN AVE STE 900, TAMPA, FL 33602-5979
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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