| NPI | 1740010040 |
|---|---|
| Doing Business As | PROVIDENCE LIVING AT HUNTERS CREEK |
| Entity Type | Organization |
| Authorized Contact | SHIRAH RIOS Executive Director 407-900-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |