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1275938912
PROVIDENCE HOMECARE SERVICES INC
CHICAGO, IL
NPI
1275938912
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Entity Type
Organization
Authorized Contact
WILSON ATIABET
Owner
773-274-3627
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2014-10-23
Last Update Date
2017-12-21
Business Address
PROVIDENCE HOMECARE SERVICES INC
6965 N WESTERN AVE
CHICAGO, IL 60645-4710
Phone number: 773-274-3627
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Mailing Address
PROVIDENCE HOMECARE SERVICES INC
6965 N WESTERN AVE
CHICAGO, IL 60645-4710
Phone number: 773-274-3627
Copy
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