| NPI | 1609456458 |
|---|---|
| Other Name | PROVIDENCE HEALTHCARE SERVICES - MONROE |
| Entity Type | Organization |
| Authorized Contact | NERCY B RADCLIFFE Administrator 305-220-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |