Organization · Type 2 NPI
Providence Place LLC
Assisted Living Facility · Jesup, GA
NPI number
1063132876
Active
Practice location
249 Joe Naia Rd
Jesup, GA 31545-4112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Assisted Living Facility Primary | 310400000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1063132876
Providence Place LLC's National Provider Identifier is 1063132876, issued on Aug 31, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jesup, GA. The record was last updated on Aug 31, 2022.