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1831662022
PROVIDENT HOME CARE, INC.
ST PETERSBURG, FL
NPI
1831662022
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Entity Type
Organization
Authorized Contact
DAVID E WILSON
Owner/CFO
615-347-0900
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
PROVIDENT HOME CARE, INC.
4934 17TH AVE N
ST PETERSBURG, FL 33710-5202
Phone number: 615-347-0900
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Mailing Address
PROVIDENT HOME CARE, INC.
123 PEBBLE CREEK RD
FRANKLIN, TN 37064-5525
Phone number: 615-347-0900
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