| NPI | 1093826695 |
|---|---|
| Doing Business As | PROVIDENCE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | BRIAN BANKS CEO 405-602-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OK 7724) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-06-18 |