| NPI | 1972001956 |
|---|---|
| Doing Business As | PROVIDENCE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSHUA L. PROFFITT President 337-233-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-01-05 |