| NPI | 1538665211 |
|---|---|
| Doing Business As | PROVIDER CARE AT HOME |
| Entity Type | Organization |
| Authorized Contact | SHANE MILLER Administrator/Owner 210-850-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-01-11 |