| NPI | 1669268991 |
|---|---|
| Doing Business As | DBA PAT-PROVIDENCE HOME HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | PATRICK NICANDA ALLALA CEO 330-696-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |