| NPI | 1861006439 |
|---|---|
| Doing Business As | PROVIDENCE HOME CARE L.L.C |
| Entity Type | Organization |
| Authorized Contact | KOJO ALEXANDER C.F.O 701-709-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2022-02-24 |