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1649925140
PROVISION HEALTHCARE SERVICES
UPLAND, CA
NPI
1649925140
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Entity Type
Organization
Authorized Contact
SARAH LIZETTE CORNEJO
CEO
903-705-2166
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
PROVISION HEALTHCARE SERVICES
876 N MOUNTAIN AVE STE 200O
UPLAND, CA 91786-4166
Phone number: 949-353-9083
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Mailing Address
PROVISION HEALTHCARE SERVICES
876 N MOUNTAIN AVE STE 200O
UPLAND, CA 91786-4166
Phone number: 949-353-9083
Copy
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