Providence In-Home Care Services
NPI #1104798917 in Clarksburg, Maryland
Provider Information
- NPI Number
- 1104798917
- Entity Type
- Organization
- Organization Name
- Providence In-Home Care Services
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Sep 22, 2025
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 12652 PIEDMONT TRAIL RD
- City
- Clarksburg
- State
- Maryland
- ZIP Code
- 20871-4305
- Phone
- (240) 614-6946
Authorized Official
- Name
- FUNMILAYO JOHNSON
- Title
- OWNER
- Phone
- (240) 614-6946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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