Organization
PH PROVIDENCE, LLC
Active
Other names
Providence Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN KLEIN (MANAGER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
401 E 20TH ST, COVINGTON, KY 41014-1583
(845) 732-9410
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
(847) 329-4100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us