PROVIDIA HOME CARE LLC

LOGANVILLE, GA
NPI1598150526
Entity TypeOrganization
Authorized ContactTOVA NIEVES
Admnistrator
404-406-2514
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: GA  075-R-0965)
Additional Taxonomies251J00000X Nursing Care
(Licence: GA  075-R-0965)
Enumeration Date2015-04-06
Last Update Date2015-04-06
Business Address
PROVIDIA HOME CARE LLC
915 YANCEY CT SUITE 105
LOGANVILLE, GA 30052-9037
Phone number: 404-406-2514
Mailing Address
PROVIDIA HOME CARE LLC
915 YANCEY CT SUITE 105
LOGANVILLE, GA 30052-9037
Phone number: 404-406-2514