Providential Home Care of Nwa LLC

NPI #1104416247 in Lowell, Arkansas

Provider Information

NPI Number
1104416247
Entity Type
Organization
Organization Name
Providential Home Care of Nwa LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Jan 22, 2021
Last Updated
Jan 22, 2021

Practice Location

Address
113 PARKWOOD ST STE B
City
Lowell
ZIP Code
72745-8811
Phone
(479) 668-4338

Authorized Official

Name
MR. MARK KERSEY
Title
OWNER
Phone
(479) 668-4338

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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