| NPI | 1730541905 |
|---|---|
| Doing Business As | PROVIDENCE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | WENDY DOLYK Vice President Of Operations 567-455-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1957N) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |