| NPI | 1881452134 |
|---|---|
| Doing Business As | PROVISION HOME CARE |
| Entity Type | Organization |
| Authorized Contact | BRENDA ALICIA CERVANTES Owner 915-820-9623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |