| NPI | 1053084871 |
|---|---|
| Doing Business As | PROVIDENCE NURSING & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANA K MARK Dir Of Provider Contracts 814-277-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |