NPI 1851795686

Ph Providence, LLC

Organisation Skilled Nursing Facility Covington, KY

Practice location

Address: 401 E 20th St, Covington, KY 41014-1583
Phone: (845) 732-9410
Mailing address: 7444 Long Ave, Skokie, IL 60077-3214

Authorised official

Name: Benjamin Klein
Title: Manager
Phone: (847) 329-4100

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Kentucky →

Registry record

NPI: 1851795686
Entity type: Organization
NPI issued: 22 Oct 2014
Record last updated: 22 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.