| NPI | 1114506193 |
|---|---|
| Doing Business As | PROVIDENCE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAROUCHE President 702-767-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-05-12 |