Organization
PROVIDENCE OPERATOR LLC
Active
Other names
Providence Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MINDEE DRILLMAN CPA (CONTROLLER)
(732) 903-1958
Entity
Organization
Contact information
Practice address
600 S WYCOMBE AVE, LANSDOWNE, PA 19050-2835
(610) 626-8065
Mailing address
PO BOX 1030, BRICK, NJ 08723-0090
(732) 903-1958
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
04/03/2024
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