NPI | 1447753447 |
---|---|
Doing Business As | PROVIDENCE CARE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER RUSS Owner 804-318-7978 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Enumeration Date | 2018-03-15 |
Last Update Date | 2018-03-15 |