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1003649104
PROVIDENCE HEALTH CARE AGENCY LLC
DALLAS, TX
NPI
1003649104
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Entity Type
Organization
Authorized Contact
QUARGNILDE ILEKENDI
Member
214-407-4242
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
PROVIDENCE HEALTH CARE AGENCY LLC
2538 BAHAMA DR APT 238
DALLAS, TX 75211-2137
Phone number: 214-407-4242
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Mailing Address
PROVIDENCE HEALTH CARE AGENCY LLC
2538 BAHAMA DR APT 238
DALLAS, TX 75211-2137
Phone number:
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