| NPI | 1043896905 |
|---|---|
| Other Name | PROVIDENCE HOMECARE - MONROE |
| Entity Type | Organization |
| Authorized Contact | NERCY B RADCLIFFE Administrator 305-220-1088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |