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1780640169
PROVIDENT SENIOR HEALTH, INC.
ENGLEWOOD, CO
NPI
1780640169
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Entity Type
Organization
Authorized Contact
BILL NOONING
CEO
303-493-5270
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-04-25
Last Update Date
2013-08-19
Business Address
PROVIDENT SENIOR HEALTH, INC.
799 E HAMPDEN AVE SUITE 300
ENGLEWOOD, CO 80113-2700
Phone number: 303-493-5270
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Mailing Address
PROVIDENT SENIOR HEALTH, INC.
PO BOX 60
ENGLEWOOD, CO 80151-0060
Phone number: 303-493-5270
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