| 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 |