PROVIDENT HEALTH CARE LLC

GREENWOOD, SC
NPI1871334227
Entity TypeOrganization
Authorized ContactROBERTA DENISE BRINKLEY
Executive Director
252-955-2354
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2024-05-31
Last Update Date2025-09-23
Business Address
PROVIDENT HEALTH CARE LLC
314 MAIN ST UPPR LEVEL
GREENWOOD, SC 29646-2758
Phone number: 252-955-2354
Mailing Address
PROVIDENT HEALTH CARE LLC
PO BOX 1705
JAMESTOWN, NC 27282-1705
Phone number: 252-955-2354