Organization
PROVIDENCE SPEECH AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHELSEA LEE JOHANSEN (DIRECTOR OF HR)
(714) 639-4990
Entity
Organization
Contact information
Practice address
1301 PROVIDENCE AVE., ORANGE, CA 92868
(714) 639-4990
Mailing address
1301 PROVIDENCE AVE., ORANGE, CA 92868
(714) 639-4990
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
1240
CA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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