| NPI | 1689320988 |
|---|---|
| Doing Business As | PROVIDENCE HOME CARE L.L.C |
| Entity Type | Organization |
| Authorized Contact | KOJO ALEXANDER Director Of Operations 701-709-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |