| NPI | 1538831193 |
|---|---|
| Doing Business As | 1ST PROVIDENCE HOME CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | EMELIA KORKOR CEO 571-334-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-11-10 |