| NPI | 1588280499 |
|---|---|
| Doing Business As | PROVIDENCE CARE HOME INC |
| Entity Type | Organization |
| Authorized Contact | MARK ARROJO President 847-983-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |