PROVIDENT CARE RESIDENTIAL HOME LLC

Assisted Living Facility

NPI: 1578150397Organization

Specialties, Licenses & Credentials

Assisted Living FacilityPrimary

Assisted Living Facility

Code: 310400000X

Contact & Hours

Address: 4170 MUTTER RD
SAINT CLOUD, FL 34769
Phone: (407) 556-3406

Quick Facts

NPI: 1578150397
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile