| NPI | 1033931043 |
|---|---|
| Doing Business As | PROVIDENCE AT HOME WITH COMPASSUS HOME HEALTH, INWA |
| Entity Type | Organization |
| Authorized Contact | TERRI WARREN Chief Executive Officer 310-480-2982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |