| NPI | 1538665211 |
|---|---|
| Doing Business As | PROVIDER CARE AT HOME |
| Entity Type | Organization |
| Authorized Contact | SHANE MILLER Administrator/Owner 512-793-9148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-07-17 |