Providence Place, LLC
Assisted Living Facility in High Point, NC. Organization (NPI-2).
NPI number1063242568
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1063242568
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Place, LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Westchester Harbour At Providence Place (Other Name)
Practice location
630 Whittier AveHigh Point, NC 27262-8049
Phone 336-888-6760
Mailing address
100 Leonard AveNewton, NC 28658-9649
Phone 828-464-8264
Authorized official
Lee B Syria
President And Ceo
8284658019
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