| NPI | 1801516315 |
|---|---|
| Doing Business As | PROVIDENCE PLACE OF MOUNT JULIET |
| Entity Type | Organization |
| Authorized Contact | MOLLY PATTON Executive Director 615-758-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-03-21 |