| 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 |