Providence Health Care, Inc.

NPI 1063448835 - Assisted Living Facility - 310400000X

NPI Details
NPI 1063448835
Enumeration Date 06/24/2006
Last Updated 11/16/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JANE JANE
Position CORPORATE MANAGER
Phone (276) 322-5439
Fax (276) 322-5442
Practice Location
WESTWOOD MEDICAL PARK
BLUEFIELD VA, 24605, US
Phone (276) 322-5439
Fax (276) 322-5442
Business Location
101 E STATE ST
KENNETT SQUARE PA, 19348-3109, US
Phone (610) 925-4436
Fax (610) 925-4351
Toxanomy
Taxonomy Code 310400000X
License State Virginia
License Number WOL-05-030
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According to our database, Providence Health Care, Inc. NPI is 1063448835, taxonomy code is 310400000X and license number is WOL-05-030, license state is located at Virginia. Providence Health Care, Inc. physically located at Westwood Medical Park, Bluefield VA, 24605. NPI Number 1033115704 has the healthcare provider type.

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1063448835 NPI number is provided on an as is basis without warranty of any kind. 1063448835 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Health Care, Inc. are for informational purposes only.