PROVIDENT CARE

MODESTO, CA
NPI1417298894
Entity TypeOrganization
Authorized ContactROBIN D CONLEY
CEO
209-578-1210
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2013-03-08
Last Update Date2013-03-08
Business Address
PROVIDENT CARE
100 SYCAMORE AVE
MODESTO, CA 95354-0500
Phone number: 209-578-1210
Mailing Address
PROVIDENT CARE
PO BOX 3558
MODESTO, CA 95352-3558
Phone number: 209-578-1210
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