Organization
PROVIDENCE SENIOR LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOMA BEN-OKORORIE (OWNER)
(919) 523-5749
Entity
Organization
Contact information
Practice address
3948 BROWNING PL STE 101, RALEIGH, NC 27609-6512
(919) 523-5749
Mailing address
3948 BROWNING PL STE 101, RALEIGH, NC 27609-6512
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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