Organization · Type 2 NPI

Providence City, LLC

Assisted Living Facility · Providence, UT

NPI number 1891911145 Active

Practice location

233 N Main St
Providence, UT 84332-9622

Mailing address

3723 Fairview Industrial Dr SE Ste 270
Salem, OR 97302-4975

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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.

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About NPI 1891911145

Providence City, LLC's National Provider Identifier is 1891911145, issued on Apr 17, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Providence, UT. The record was last updated on Aug 22, 2020.