| NPI | 1255228094 |
|---|---|
| Doing Business As | PROVIDENCE HOMES PLUS |
| Entity Type | Organization |
| Authorized Contact | STEVEN KIRK PEAVLER Owner 785-806-5754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |