| NPI | 1003815275 |
|---|---|
| Doing Business As | PROVIDENCE AT HOME, INC. |
| Entity Type | Organization |
| Authorized Contact | JOHANNA ZANDSTRA Vice President Of Operations 708-342-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 003435) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2024-01-24 |