| NPI | 1467962043 |
|---|---|
| Doing Business As | PROVIDENTIAL HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | DUKE ATANO OSIMA Administrator 410-998-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MD R2235) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |