| NPI | 1912106923 |
|---|---|
| Doing Business As | PROVIDENCE HOME HEALTH CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | CONRADO L VALEROS Administrator 305-749-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-12 |