| NPI | 1891780946 |
|---|---|
| Doing Business As | PROVENA GENEVA CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DENISE A NICHOLS Dr. Patient Financial Services 315-506-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-07-21 |