| NPI | 1174026736 |
|---|---|
| Doing Business As | PROVIDENCE CARE INC |
| Entity Type | Organization |
| Authorized Contact | SIMPLICIUS E OKORO Executive Director 734-394-7679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: TN 220042) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TN 220042) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 220042) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |