# PROVIDENCE OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730950460
- **Authorized official:** STUART LINDEMAN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (785) 233-0588

## Contact information

- **Practice address:** 1112 SE REPUBLICAN AVE, TOPEKA, KS 66607-1614
- **Practice address phone:** (785) 233-0588
- **Mailing address:** 302 KNIGHTS RUN AVE STE 900, TAMPA, FL 33602-5979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2024
- **Last updated:** 01/11/2024