| NPI | 1639623754 |
|---|---|
| Doing Business As | PROVIDENCE COMPANION CARE |
| Entity Type | Organization |
| Authorized Contact | HUNTER L SIMPSON Managing Partner 423-220-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN I000000018767) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |