NPI | 1639531197 |
---|---|
Doing Business As | PROVISION HOME CARE SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | MARISELA GONZALEZ Don/Administrator 956-975-9264 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: TX 017533) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2022-01-30 |