| NPI | 1003374034 |
|---|---|
| Doing Business As | PROVIDECE AT HOME |
| Doing Business As | PROVIDENCE AT HOME |
| Entity Type | Organization |
| Authorized Contact | JOHNNIE GARMON CEO 800-327-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |