Providence Homecare Services Inc

NPI 1275938912 - Home Health - 251E00000X

NPI Details
NPI 1275938912
Enumeration Date 10/23/2014
Last Updated 10/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name WILSON WILSON
Position OWNER
Phone (773) 274-3627
Fax
Practice Location
6965 N WESTERN AVE
CHICAGO IL, 60645-4710, US
Phone (773) 274-3627
Fax
Business Location
6965 N WESTERN AVE
CHICAGO IL, 60645-4710, US
Phone (773) 274-3627
Fax
Toxanomy
Taxonomy Code 251E00000X
License State
License Number
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According to our database, Providence Homecare Services Inc NPI is 1275938912, taxonomy code is 251E00000X Providence Homecare Services Inc physically located at 6965 N Western Ave, Chicago IL, 60645-4710. NPI Number 1033115704 has the healthcare provider type.

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1275938912 NPI number is provided on an as is basis without warranty of any kind. 1275938912 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Homecare Services Inc are for informational purposes only.