Organization
PROVIDENCE VILLA
Active
Other names
Providence Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CHARLES HUHTA (OWNER)
(218) 837-9162
Entity
Organization
Contact information
Practice address
200 MINNESOTA AVE E, SEBEKA, MN 56477-5002
(218) 837-9162
(218) 837-6861
Mailing address
200 MINNESOTA AVE E, SEBEKA, MN 56477-5002
(218) 837-9162
(218) 837-6861
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
01/16/2019
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