| NPI | 1093579799 |
|---|---|
| Former Legal Business Name | PROVI HOME HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICK NICANDA ALLALA CEO 330-696-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |