| NPI | 1083268544 |
|---|---|
| Doing Business As | PROVIDENCE SKILLED NURSING CARE |
| Entity Type | Organization |
| Authorized Contact | BETTY W. MWENJE Administrator/President 301-490-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |