| NPI | 1235365792 |
|---|---|
| Former Legal Business Name | PROVIDER HEALTH SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE TALIEH President 614-681-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 1735736) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2020-02-26 |