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1629692710
PROVISION HOME CARE AGENCY, LLC
WINSTON SALEM, NC
NPI
1629692710
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Entity Type
Organization
Authorized Contact
BERTHA GRINTON MITCHELL
Owner
336-300-9005
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
PROVISION HOME CARE AGENCY, LLC
3516 VEST MILL RD STE A
WINSTON SALEM, NC 27103-3070
Phone number: 336-300-9005
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Mailing Address
PROVISION HOME CARE AGENCY, LLC
3516 VEST MILL RD STE A
WINSTON SALEM, NC 27103-3070
Phone number: 336-300-9005
Copy
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