| NPI | 1427641398 |
|---|---|
| Doing Business As | PROVIDENCE PRIVATE DUTY |
| Entity Type | Organization |
| Authorized Contact | JEREMY ALLEN Personal Care Director 405-992-0570 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |