| NPI | 1861902793 |
|---|---|
| Doing Business As | PROVISTA HOME CARE |
| Entity Type | Organization |
| Authorized Contact | BEATRIZ PUENTE Administrator 214-965-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |